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{"sheet":"User Guide","index":0,"n_rows":66,"n_cols":3,"rows_kept":66,"cut":false,"hidden":false,"merged":[]}
["User Guide"]
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[null,null,"1. You will need to ensure that macros have been enabled in order to activate the full functionality of this document"]
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[null,null,"2. Go through each of the tabs in turn, adding as much information and detail as you can"]
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[null,null,"3. Each tab relates to a specific aspect of the service user's diagnosis, care and treatment. Some tabs will also require input from another person, such as "]
[null,null,"a family member or advocate"]
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[null,null,"4. None of the fields are mandatory, so they can be left blank if not applicable or so that information can be added or updated later"]
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[null,null,"5. Some fields will require a date, and should therefore be completed in the correct format as described (dd/mm/yyyy)"]
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[null,null,"6. Some fields will require you to select from a drop down list. These fields are clearly marked as they are formatted in a different light blue colour to"]
[null,null,"the rest of the fields"]
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[null,null,"7. In some instances, the option you select from a drop down list will add or remove questions further down the sheet. Please just continue to record"]
[null,null,"answers to all visible questions"]
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[null,null,"8. At the bottom of most tabs, there are summary tables to be completed based on information already inputted. The text from these summary tables "]
[null,null,"will then be used to autopopulate the Action Summary tab at the end of the document."]
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[null,null,"9. The Outcome of CTR table at the bottom of the Details tab will also be autopopulated"]
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[null,null,"10. Buttons:"]
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[null,null,"SAVE: This button saves the document and will therefore save all recent changes made to the document"]
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[null,null,"SAVE AS PDF: This button will save the current tab in pdf format (landscape orientation) and will automatically open for you to view it"]
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[null,null,"SPELL CHECK SHEET: This button allows you to check the spelling of all inputted information in the current tab"]
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[null,null,"PRINT SHEET: This button allows you to print the current tab. The tabs are pre-formatted to ensure that all columns fit onto one page (landscape orientation)"]
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[null,null,"SHOW/HIDE SUPPORTING QUESTIONS: This button allows you to toggle between hiding and showing the supporting questions in each tab"]
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[null,null,"FULL VIEW: This button (located on the Action Summary tab) ensures that all of the text in each cell is visible"]

{"sheet":"Details","index":1,"n_rows":55,"n_cols":3,"rows_kept":55,"cut":false,"hidden":false,"merged":[[0,1,0,2],[1,1,1,2],[2,1,2,2],[44,1,44,2],[8,1,8,2],[26,1,26,2]]}
[null,"Key Lines of Enquiry (KLOE) to support the Care and Treatment Review of a person over the age\nof 18 (who does not have an Educational need) in an inpatient setting (secure and non-secure)"]
[null,"FOCUS OF THIS REVIEW:"]
[null,{"$f":"VLOOKUP(C10,Focus_Table[],2,FALSE)","v":" "}]
[null,"VERY IMPORTANT QUESTIONS"]
[null,"In advance of the CTR, who has spoken with the person, their family and their advocate about this review? "]
[null,"Who will be feeding back to the person, their family and their advocate after the review?"]
[null,"List any outstanding actions from the last CTR "]
[null,"Date of last inpatient CTR (if applicable)"]
[null,"Information about the person being reviewed:"]
[null,"Reason for this review","Please select from list"]
[null,"Person's CTR unique identifier"]
[null,"Responsible ICB","Please select from list"]
[null,"Name of Provider"]
[null,"Type of Provider","Please select from list"]
[null,"Name of Inpatient Unit","Please select from list"]
[null,"If site (not listed) please specify"]
[null,"Name of Host Commissioner"]
[null,"Level of Security","Please select from list"]
[null,"Basis of Consent for Review","Please select from list"]
[null,"Mental Health Act Legal status","Please select from list"]
[null,"Date of this admission   (dd/mm/yyyy)"]
[null,"Date of admission to inpatient care (if transferred from another setting) (dd/mm/yyyy)"]
[null,"Was there a community CTR? ","Please select from list"]
[null,"Date community CTR held   (dd/mm/yyyy)"]
[null,"What were the recommendations and findings?"]
[null,"Reason for admission, relevant history and adverse childhood events:\ninclude any relevant family history, education history etc. which could impact on the person's wellbeing"]
[null,"Information about the Panel:"]
[null,"Date of Review   (dd/mm/yyyy)"]
[null,"Has the panel completed a CTR for the person before?","Please select from list"]
[null,"Chair   (responsible commissioner or person with delegated authority)"]
[null,"Independent expert by experience"]
[null,"Independent clinical expert"]
[null,"Other Panel member (eg. Pharmacist, MHA Reviewer from CQC)"]
[null,"Family members / siblings / carer"]
[null,"Advocate "]
[null,"Commissioner responsible for person's care upon discharge"]
[null,"Responsible clinician"]
[null,"Senior nurse / clinical staff"]
[null,"Social Care Professional e.g social worker"]
[null,"Education Professional"]
[null,"\"Aftercare\" team: community psychiatrist, community nurse, social worker, education provider"]
[null,"Other (please specify)"]
[null,"Other (please specify)"]
[null,"Important parties who did not attend the review"]
[null,"DSR information:"]
[null,"Name of lead professional responsible for care plan?"]
[null,"Date of last review of care plans and risk assessment?    (dd/mm/yyyy)"]
[null,"Is the person on their local Dynamic Support Register?","Please select from list"]
[null,"Who is responsible for adding the person to the Dynamic Support Register?"]
[null,"Date of most recent consent for inclusion on DSR?   (dd/mm/yyyy)"]
[]
[null,"Outcome of CTR: (this section auto-populates when Action summary is completed)"]
[null,{"$f":"'Action Summary'!C80","v":"Please select from list"}]
[null,{"$f":"'Action Summary'!C81","v":"Reason for this"}]
[null,{"$f":"'Action Summary'!C82","v":"Please select from list"}]

{"sheet":"Person's Views","index":2,"n_rows":60,"n_cols":6,"rows_kept":60,"cut":false,"hidden":false,"merged":[[32,2,32,3],[33,2,33,3],[34,2,34,3],[51,1,51,3],[35,2,35,3],[36,2,36,3],[42,2,42,3],[43,2,43,3],[38,2,38,3],[40,2,40,3],[41,2,41,3],[44,2,44,3],[19,2,19,3],[22,2,22,3],[23,2,23,3],[29,2,29,3],[30,2,30,3],[2,2,3,3],[0,1,0,6],[46,2,46,3],[10,2,10,3],[12,2,12,3],[13,2,13,3],[14,2,14,3],[15,2,15,3],[16,2,16,3],[17,2,17,3],[24,2,24,3],[25,2,25,3],[26,2,26,3],[28,2,28,3],[18,2,18,3],[20,2,20,3]]}
[null,"STEP 1: Key Lines of Enquiry (KLOE) to support the panel to obtain the person's wishes and feelings"]
[]
[null,null,"Method of gathering information: \n- The person should be given the headings for the supporting questions ahead of the CTR\n- No Panel should ever ask all of the questions provided below.  These are to be used as prompts to engage and steer the conversation to facilitate a productive CTR  \n- Excessive use of questions could inhibit the natural flow of conversation leading to disengagement and disgruntlement towards the review whilst leaving out the person's true feelings and thoughts\n- Exercise caution with questions marked * as these question may trigger patients with an associated diagnosis\n^ NB. Autistic people may require additional exercise for sensory regulation and MDT should be encouraged to support this\n# The panel need to be sensitive in how responses to questions are recorded and consider who will be reading the completed document",null,"Supporting Questions and Prompts"]
[]
[]
[null,null,"Did the person answer these questions themselves?","Please select from list"]
[null,null,"If the person had help to answer the questions, please provide the name of the person helping and state their relationship to the person"]
[null,null,"If these questions have not been answered by the person please explain why e.g.  the person is non-verbal, person does not understand the questions, person is in distress or crisis (sensory overload), other reason"]
[]
[null,"Please ensure that where an unmet need is identified by the response, there is a corresponding reparative action stated below"]
[null,"No.","Suggested Supporting Questions",null,"Responses"]
[null,1.1000000000000001,"How safe do you feel?"]
[null,"1\n2\n3","Do you feel safe here?  \nDo you feel it would be safer for you to live somewhere else? If so, where? \nWhat extra support would help you to live in the community?"]
[null,1.2,"Are you receiving treatment in hospital?"]
[null,1,"If not, do you understand why you are currently in hospital?"]
[null,1.3,"What do you think about the care and treatment that you are getting in hospital?"]
[null,null,"Do you feel that the treatment is helping you to get better?\nWhat do you like about the treatment?\nWhat don't you like about the treatment?\nAre there any treatments that you would like to try (animal therapy, art therapy, speech and language therapy)? NB. the resources that are available will be identified within the service specification",null,null,"1\n2\n3\n4\n5\n6"]
[null,1.4,"How is your physical health?"]
[null,null,"Are you keeping fit and well?  How do you like to keep active?\nHow often do you have the opportunity to be active; e.g. sport, walking?\nHow often do you have the opportunity to go outside?\nCan you choose your fitness activities?\nCan you choose when you go outside to play sports or go for a walk? \nCan you do light exercise; e.g. walking, without getting out of breath? \n*Do you understand the importance of eating a balanced diet?\n*Do you feel that you are a healthy weight?\nWhat is the food like?  Are there healthy choices?\nDo you get to see a Doctor if you are feeling unwell?  \nDo you have a regular Doctor that you see and trust?\nDo you have any long-term conditions such as epilepsy, asthma or diabetes?  If so, do you have regular checks for them?\nHave you had an annual health check?\nDo you have the opportunity to attend regular health checks with your GP, Dentist, Podiatrist, Optician?\n",null,null,"1\n2\n3\n\n12\n13\n14\n15\n16\n17\n18\n19\n20\n21"]
[null,null,"If Transgender: \nAre you receiving frequent support e.g. blood tests and monitoring of your hormone levels?  \nDo you feel supported to express yourself?  \nDo you require any additional information or access to support in relation to your gender?  \nHave you been tested for hypermobility?",null,null,"1\n2\n3\n4\n5"]
[null,1.5,"Are your personal care needs met?"]
[null,null,"If you need help, do the staff help you to: \n - have a bath or a shower\n - wash your hair\n - use the toilet\n - brush your teeth\n - select and put on clothes\n - wash clothes"]
[null,1.6,"Are any changes required to your medication?"]
[null,null,"Do you know what medicine you are taking?\nDo you know what your medicines are for?\nAre you given medication related information in a format that is right for you? e.g. easy read leaflets/plain English etc.                                                                                         \nDo the staff help you take tablets or apply creams?\nDo you take your medication regularly?\nAre you a part of and having regular medicine reviews where you can talk to the doctor or pharmacist about them?\nDo you feel ok about the medicines that you take?\nDo you experience any side effects from the medication?\nDo you think your medicine is helping you?\nAre you taking contraceptive medication?\nAre you menstruating or menopausal?",null,null,"1\n2\n9\n10\n11\n12\n13\n14\n15\n16\n17"]
[null,1.7,"How is your mental health?"]
[null,null,"How often do you feel sad or anxious?\nWho do you talk to when you feel sad or anxious?\nHow does feeling sad or anxious stop you doing things or seeing people that you like or otherwise impact on your day-to-day life?\n",null,null,"1\n2\n3\n4"]
[null,1.8,"Are you involved in planning your future care and treatment?"]
[null,null,"Do you take part in meetings about your future care and treatment? including: \n- Care planning meetings\n- Care and Treatment reviews\n- Discharge Planning meetings e.g. housing ",null,null,"1\n2"]
[null,1.9,"Are your advocacy needs being met?"]
[null,null,"Who do you talk to when you have a problem?\nAn advocate is someone who can help you speak up and ask questions or raise concerns for you:\nDo you have an advocate?\nWhat type of advocate do you have?  e.g. family/friend, legal, independant mental health advocate (IMHA) etc.\nHow often do you speak to your advocate?\nDo you need/get any help to contact your advocate?\nDoes your advocate help you plan for your C(E)TR, and afterwards?\t\nIf you don't have an advocate, would you like one? \nWho helps you prepare for meetings?",null,null,"1\n2\n3\n7\n8\n9\n10\n11\n12\n13\n14"]
[null,1.1000000000000001,"Are your sensory needs being met?"]
[null,null,"Suggested topics: \n - Sensory processing\n - Emotional processing\n - Masking\n - Textures / Sounds / Tastes / Light\n - Inter-o-ception"]
[null,1.1100000000000001,"Relationships - Do you spend time with parents,other family members, friends, etc.?"]
[null,null,"Which family or friends do you like to spend time with?  \nIs this in person, by telephone or video call? Are your partner(s) or significant other(s) able to visit you?\nHow do you spend time with your family and friends? Do you get a choice in this?\nAre you accessing section 17 leave?  \nIf so, is it enough? \nDoes it allow you to do what you want to do?",null,null,"1\n2\n3\n4\n5\n6\n7\n8"]
[null,1.1200000000000001,"What does your day look like?"]
[null,null,"What activities do you enjoy and are you able to do these activities in hospital?  \nWhat interests do you have and are you able to partake in these interests in hospital?\nDo you take part in activities with other people?\nWho are your main friends in hospital?\nAre there any staff members that you like or dislike?\nAre you supported to express your religious and cultural beliefs? If so, how?\nWhat is the quality of your sleep like?  \nDo you use music, weighted blankets etc. to help improve your sleep?",null,null,"1\n2\n3\n4\n5\n6\n7\n8"]
[null,1.1299999999999999,"Environment - Are you happy with your living space?"]
[null,null,"What do you like or dislike about your room?\nIs the lighting ok for you?\nDoes everywhere smell ok?  \nIs everywhere clean?\nDo the toilets, taps and showers work?\nIt the hospital too noisy or quiet?\nIs there a quiet room?  Is there a sensory room?"]
[null,1.1399999999999999,"Quality of life"]
[null,null,"Do people treat you well? \nTell us about your hobbies and interests?\nWhat are your hopes and ambitions?\nWhat makes you feel well and happy?\nWhat would you never want to lose?"]
[null,1.1499999999999999,"Preparing for discharge to community"]
[null,null,"Where would you like to live in the future?\nWho would you like to live with / near?\nWhat kind of neighbourhood would you like e.g. Countryside / Town?\nDo you have any sensory needs that need to be considered as part of your accommodation?\nWhat type of housing would you like? bungalow / flat / house\nWould you like to return to your previous home?",null,null,"1\n2\n3\n4\n5\n6"]
[null,1.1599999999999999,"Observational prompts where patient is non-verbal or does not engage"]
[null,null,"Are they crying or sad? \nAre they out of breath when they walk or talk?\nHow do they report feeling pain?  \nDo they look well-groomed / shaven? \nDo they smell fresh?\nAre their teeth clean?\nDo their clothes fit?\nDo they engage in the arranged activities?",null,null,"`\n4\n58\n9\n10\n11\n12\n13\n14\n15"]
[null,1.17,"Additional information?"]
[]
[null,1.18,"Feedback"]
[null,null,"Who would you like to contact you after this review?",null,null,"1\n2"]
[null,null,"How would you like the feedback to be shared with you e.g. written report or a conversation and by whom?"]
[null,null,"Following the review, the commissioner should ask \"Would you like the same Panel to do your next review?\""]
[]
[null,"Level of Confidence in care provision following conversations with the person",null,null,"Please select from list"]
[]
[null,"Ref.","Summary of Actions to be taken following \ndiscussion with the person","Target date for completion","Person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"PV1",null,null,null,"-"]
[null,"PV2",null,null,null,"-"]
[null,"PV3",null,null,null,"-"]
[null,"PV4",null,null,null,"-"]
[null,"PV5",null,null,null,"-"]
[null,"PV6",null,null,null,"-"]

{"sheet":"Family Views","index":3,"n_rows":53,"n_cols":6,"rows_kept":53,"cut":false,"hidden":false,"merged":[[0,1,0,5],[26,2,26,3],[27,2,27,3],[29,2,29,3],[20,2,20,3],[2,2,3,3],[14,2,14,3],[15,2,15,3],[16,2,16,3],[17,2,17,3],[18,2,18,3],[19,2,19,3],[13,2,13,3],[23,2,23,3],[44,1,44,3],[10,2,10,3],[38,2,38,3],[39,2,39,3],[31,2,31,3],[32,2,32,3],[33,2,33,3],[35,2,35,3],[36,2,36,3],[37,2,37,3],[41,2,41,3],[40,2,40,3],[21,2,21,3],[12,2,12,3],[30,2,30,3]]}
[null,"STEP 2: Key Lines of Enquiry (KLOE) to support the persons family members and carers to express their wishes \nand feelings"]
[]
[null,null,"Method of gathering information: \n- The person should be given the headings for the supporting questions ahead of the CTR\n - No Panel should ever ask all of the questions provided below.  These are to be used as prompts to engage and steer the conversation to facilitate a productive CTR.   \n- Excessive use of questions could inhibit the natural flow of conversation leading to disengagement and disgruntlement towards the review whilst leaving out the person's true feelings and thoughts.\n- The panel need to be sensitive in how responses to questions are recorded and consider who will be reading the completed document",null,"Supporting Questions and Prompts"]
[]
[]
[null,null,"Name(s) of family member(s) / carer(s) expressing their views:"]
[null,null,"Relationship to Person:"]
[null,null,"Date of Contact:    dd/mm/yyyy"]
[]
[null,"Please ensure that where an unmet need is identified by the response, there is a corresponding reparative action stated below"]
[null,"No.","Suggested Supporting Questions",null,"Responses"]
[null,2.1,"Were you given any information ahead of today's CTR?"]
[null,2.2000000000000002,"Do you think your friend / family member is safe in the hospital?"]
[null,"2.2.1","Has your friend / family member told you they are not safe? Or do you have any concerns?"]
[null,"2.2.2","Is there anything else that needs to be done better or differently?"]
[null,2.2999999999999998,"How do you think your friend / family member's mental health is?"]
[null,"2.3.1","How do you think your friend / family member is feeling in hospital?"]
[null,"2.3.2","Do you think that things are getting better for your friend / family member in the hospital?"]
[null,2.4,"Is your friend / family member having their physical health needs met?"]
[null,"2.4.1","Does your friend / family member see a doctor if they are feeling ill or for health checks?\nDo staff ask the right questions if they are feeling ill?",null,null,"1\n2"]
[null,"2.4.2","Does your friend / family member have other regular health checks such as:\n - eye tests \n - dental checks\n - checks for other-long term conditions?",null,null,"1\n2\n3"]
["  ",2.5,"Do you think your friend / family member is getting the right medication?"]
[null,"2.5.1","Do they have regular medication reviews?\nDo they feel okay about the medication they take?                                                                                               \nAre you involved in helping your friend / family member to take medication?                                                                        ",null,null,"1\n2\n3\n4"]
[null,2.6,"Is your friend / family member having their personal needs met?"]
[null,"2.6.1","Do staff help your friend / family member to take care of themself if they need help with, for example:\n- washing\n- taking tablets\n- machines to help them sleep\n- looking after their teeth",null,null,"1\n2\n3\n4\n5\n6"]
[null,2.7,"How do you feel about the care being provided?"]
[null,"2.7.1","Is there anything that you are worried about in respect of friend / family member's: \n·  mental health concerns\n·  physical health concerns? Have they gained/lost weight?\n·  have they had their annual health check (if due)?\n·  have they had cancer screening checks e.g. breast, bowel, cervical (if due)?\n·  medication increase, changes or any side effects\n·  physical appearance\n·  environment\n·  changes in behaviour\n·  relationships with staff\n·  anything else?",null,null,"1\n2\n3\n4\n5\n6\n7\n8\n9\n10\n11\n12\n13\n"]
[null,"2.7.2","Have you shared your views of the care and treatment with the hospital staff?"]
[null,"2.7.3","Do you feel that your views are listened to by the hospital staff?"]
[null,2.8,"Is the service supporting your friend / family member to keep in contact with you?"]
[null,"2.8.1","Have you been able to visit your family member / friend and/or communicate with them regularly?\nHow are you keeping in touch?",null,null,"1\n2"]
[null,"2.8.2","If the service is not close to your home, how does the hospital help you visit and stay in touch?"]
[null,2.9,"Is your friend / family member able to live their life well - doing what is important to them?"]
[null,"2.9.1","What activities does your friend / family member enjoy doing in hospital?\nDo they take part in activities with other people?",null,null,"1\n2\n3"]
[null,"2.9.2","Is your friend / family member supported to stay fit and well?\nDo they get to choose what they eat?\nDo they get to eat food that is good for them?\nDo they cook their own food?\nDo they get to choose what exercise they do?\nHow often do they exercise in a week?\nDo they go outside?",null,null,"1\n2\n3\n4\n5\n6\n7"]
[null,2.1,"Are you kept informed about your friend / family member by the hospital?"]
[null,"2.10.1","Do you get regular communication from the hospital about the care of your friend / family member?\nDo you have contact details for the hospital? \nCan you contact the hospital during the day, at the weekend or out of hours?\nDo you know the staff involved in the care and treatment?\nDo they contact you if there is a problem?\nDo you know if anyone is providing independent advocacy? ",null,null,"1\n2\n3\n4\n5\n6\n7\n8\n`"]
[null,"2.10.2","Are you supported to join meetings at the hospital for your friend / family member?",null,null,"1\n2\n3"]
[null,2.11,"What is working well for your friend / family member in hospital?"]
[null,"2.11.1","Have there been any good changes for the person?\nHas the person learnt new ways of doing things? \nIs there anything else you would like to tell us that you think is good?",null,null,"1\n2\n3\n4`"]
[null,2.12,"Have you been asked for your views on the future plans for your friend / family member?"]
[null,"2.12.1","When your friend / family member is discharged, would they be able to return to their previous home? \nWould this be possible if support or adaptations were provided?"]
[null,2.13,"Additional information?"]
[]
[null,"Level of Confidence in care provision following conversations with family & friends",null,null,"Please select from list"]
[]
[null,"Ref:","Summary of Actions to be taken following discussion with the family & friends","Target date for completion","Person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"FV1",null,null,null,"-"]
[null,"FV2",null,null,null,"-"]
[null,"FV3",null,null,null,"-"]
[null,"FV4",null,null,null,"-"]
[null,"FV5",null,null,null,"-"]
[null,"FV6",null,null,null,"-"]

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[null,"STEP 3: Key Lines of Enquiry (KLOE) to support advocacy"]
[]
[null,null,"Method of gathering information: \n - No Panel should ever ask all of the questions provided below.  These are to be used as prompts to engage and steer the conversation to facilitate a productive CTR.   \n- Excessive use of questions could inhibit the natural flow of conversation leading to disengagement and disgruntlement towards the review whilst leaving out the person's true feelings and thoughts\n - The panel need to be sensitive in how responses to questions are recorded and consider who will be reading the completed document",null,"Supporting Questions and Prompts"]
[]
[null,"Please ensure that where an unmet need is identified by the response, there is a corresponding reparative action stated below"]
[null,"No.","Suggested Supporting Questions",null,"Comments"]
[null,3.1,"Advocate Information"]
[null,"3.1.1","How long have you known the person?"]
[null,"3.1.2","How long have you acted as their advocate?"]
[null,"3.1.3","What type of advocate are you?",null,"Please select from list"]
[null,"3.1.4","What is the name of your advocacy organisation?"]
[null,"3.1.5","Are you commissioned by the local authority, the hospital, or someone else?"]
[null,3.2,"Communication with the Person and their Family"]
[null,"3.2.1","Do the hospital support you to visit and spend time with the person regularly?"]
[null,"3.2.2","Do the hospital support you to speak to the person by phone or at online meetings?"]
[null,"3.2.3","If the patient is non-verbal or non-communicative, how are you identifying their wants and needs?",null,null,"1\n2"]
[null,"3.2.4","Do you require any support to engage with the person?"]
[null,"3.2.5","Do you feel that you have developed a relationship with the person, sufficient to enable you to advocate for them?",null,null,"1\n2"]
[null,"3.2.6","What relationship do you have with the person's family and carers?\nDo you have regular contact with them?",null,null,"1\n2"]
[null,3.3,"Advocate's Views"]
[null,"3.3.1","What are your observations in respect of the person's:\n      •   Physical Health needs\n      •   \tMental Health needs (agitated? distressed?)\n      •   \tMedication  \n      •   \tQuality of Life \n            - relationships\n            - activities\n            - quality of their environment\n            - sensory needs\n            - aspirations for the future \n     •\t   Safety & Risk\n     •   \tEnvironment"]
[null,"3.3.2","Is anything missing from the views expressed by the person and/or their family?"]
[null,"3.3.3","Have you attended MDT meetings on behalf of the patient?  \nIf so, are you listened to, respected and made to feel welcome at the MDT meetings?",null,null,"1\n2"]
[null,"3.3.4","Are the person's rights being upheld?"]
[null,"3.3.5","What is your view on the person's current care and treatment plan? Do you feel able to support the person in the discharge planning process?",null,null,"1\n2"]
[null,"3.3.6","Do you feel the person is getting all the advocacy support they need? If not, what would help? "]
[null,3.4,"Additional information?"]
[]
[null,"Level of Confidence in care provision following conversations with the advocate",null,null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken following discussion with the Advocate","Target date for completion","Person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"AV1",null,null,null,"-"]
[null,"AV2",null,null,null,"-"]
[null,"AV3",null,null,null,"-"]
[null,"AV4",null,null,null,"-"]
[null,"AV5",null,null,null,"-"]
[null,"AV6",null,null,null,"-"]

{"sheet":"Physical Health","index":5,"n_rows":96,"n_cols":6,"rows_kept":96,"cut":false,"hidden":false,"merged":[[87,1,87,3],[84,2,84,3],[0,1,0,5],[59,1,60,1],[63,1,64,1],[82,1,83,1],[37,2,37,3],[34,2,34,3],[40,2,40,3],[2,2,3,3],[81,2,81,3],[74,2,74,3],[41,1,44,1],[49,2,49,3],[58,2,58,3],[55,2,55,3],[53,1,54,1],[61,2,61,3],[76,2,76,3],[77,1,80,1],[65,2,65,3],[70,2,70,3]]}
[null,"STEP 4: Key Lines of Enquiry (KLOE) to support physical health "]
[]
[null,null,"These questions should be shared with the Unit in advance of the CTR to be completed and returned not less than 10 days in advance of the Panel meeting\n\nPlease ensure that where an unmet need is identified, there is a corresponding reparative action stated below.\n\nWhere assessments have not been undertaken and/or plans are not in place or up-to-date, ask \"why not?\"",null,"Supporting Questions and Prompts"]
[]
[]
[null,"Ref:","Suggested Supporting Questions","Responses","Comments & Required Actions"]
[null,4.0999999999999996,"Admission Health Checks, Annual Health Check, Health Action Plan"]
[null,"4.1.1","Did the person have a full comprehensive health check on admission to include:\n - physical health assessment (blood test, ECG, blood pressure, weight / height / BMI calculation)\n - physical examination / physical health symptoms\n - any concerns with long term conditions ( CVD / COPD / Diabetes / Epilepsy)\n - lifestyle factors e.g. sleeping patterns, diet, smoking, exercise, sexual activity, drug and alcohol use","Please select from list"]
[null,null,"If any results were outside of the normal range, what action was taken?","Provide details:"]
[null,null,"When was the health check last reviewed? dd/mm/yyyy","Insert date:"]
[null,"4.1.2","Has the person had an annual health check within the last 12 months? ","Please select from list"]
[null,"4.1.3","Does the person have a Health Action Plan?  ","Please select from list"]
[null,null,"      - when was it last reviewed?","Insert date:"]
[null,null,"      - what does it say?","Provide details:"]
[null,null,"      - is it being delivered?","Please select from list"]
[null,null,"      - is it effective?","Please select from list"]
[null,"4.1.4","When did the person last see a dentist?\nIf this was not within the last 12 months - why not?","Provide details:"]
[null,"4.1.5","When did the person last see an optician? \nIf this was not within the last 2 years - why not?\nDo they have the right contact lenses or glasses?","Provide details:"]
[null,"4.1.6","Are there any concerns in relation to the person's hearing? ","Please select from list"]
[null,null,"If so, when was their last hearing check?","Provide details:"]
[null,null,"Do they have the right hearing aids, if required?","Please select from list"]
[null,"4.1.7","If the person requires podiatry, does the person have regular visits from a podiatrist? ","Please select from list"]
[null,"4.1.8","Does the hospital routinely monitor the following?\n      - fluids\n      - eating\n      - continence\n      - bowel movements\n      - oral health\n      - sleep","Please select from list"]
[null,null,"Is the frequency of monitoring appropriate?","Please select from list"]
[null,"4.1.9","Does the person have any physical health needs that have not been recognised, understood or addressed?","Please select from list"]
[null,4.2,"Weight"]
[null,"4.2.1","Is the person within a healthy weight range? ","Please select from list"]
[null,null,"Have they gained or lost weight since being admitted to hospital?","Please select from list"]
[null,null,"What actions have been taken in response?","Provide details:"]
[null,4.3,"Mobility Issues"]
[null,"4.3.1","Does the person have any mobility issues?","Please select from list"]
[null,"4.3.2","Do they have the equipment required to meet their needs and are they appropriately used?","Please select from list"]
[null,"4.3.3","Does the person have access to professionals who can support their ability to mobilise and undertake activities of daily living if they require it, such as physiotherapists, occupational therapists, podiatrists","Please select from list"]
[null,"4.3.4","Does the person have a history of falls? ","Please select from list"]
[null,4.4000000000000004,"Reasonable Adjustments"]
[null,"4.4.1","Is there a recording of any reasonable adjustments to enable the person to access healthcare monitoring / screening / appointments?","Please select from list"]
[null,"4.4.2","Does the person have any physical health needs that have not been recognised, understood or addressed?","Please select from list"]
[null,4.5,"Pain"]
[null,"4.5.1","Is there any evidence that physical health difficulties and/or pain are contributory factors to the person's behaviour?","Please select from list"]
[null,"4.5.2","Is there clear guidance for staff to recognise what to do when the person is in pain? ","Please select from list"]
[null,4.5999999999999996,"Long Term Conditions e.g. Diabetes, Epilepsy, High Blood Pressure"]
[null,"4.6.1","Does the person have any long term conditions? ","Please select from list"]
[null,null,"Are any long term conditions (e.g. high blood pressure) being managed effectively through lifestyle activity as well as medication?","Please select from list"]
[null,null,"Is there a clear care plan in place to support the management of these conditions including regular specialist reviews?","Please select from list"]
[null,null,"Is the care plan being delivered?  ","Please select from list"]
[null,"4.6.2","Does the person have a diagnosis of epilepsy?","Please select from list"]
[null,null," - has a SUDEP risk assessment been undertaken?","Please select from list"]
[null,null," - have the results of the SUDEP risk assessment been acted upon?","Please select from list"]
[null,null," - are they under the care of a neurologist?","Please select from list"]
[null,4.7,"Quality of Sleep"]
[null,"4.7.1","Has the person's sleep hygiene been assessed?","Please select from list"]
[null,"4.7.2","If required, is there a Care Plan to address their sleep needs?","Please select from list"]
[null,"4.7.3","Does the person have sleep aponea?  ","Please select from list"]
[null,"4.7.4","If sleep apnoea has been diagnosed, do they have a CPAP or BiPAP machine?","Please select from list"]
[null,null,"Are they supported to use their machine each night? ","Please select from list"]
[null,4.8,"Constipation"]
[null,"4.8.1","Has the person been assessed for constipation?","Please select from list"]
[null,"4.8.2","If required, is a plan in place to support regular bowel movement and to ensure constipation is effectively managed?","Please select from list"]
[null,4.9000000000000004,"Dysphagia"]
[null,"4.9.1","Does the person have any difficulty swallowing food or drink?","Please select from list"]
[null,null,"If so, have they been assessed for dysphagia?  ","Please select from list"]
[null,4.0999999999999996,"Menstruation & Menopause"]
[null,"4.10.1","Is the person being supported with menstruation and any connected symptoms?","Please select from list"]
[null,"4.10.2","Is the person displaying any menopausal symptoms? ","Please select from list"]
[null,null,"If so, what treatment has been offered?","Provide details:"]
[null,4.1100000000000003,"Vaccinations & Cancer Screening"]
[null,"4.11.1","Is the person up to date with immunisations including flu and covid-19 vaccines?","Please select from list"]
[null,"4.11.2","If no - what reasonable adjustments have been offerred to encourage vaccine uptake?","Provide details:"]
[null,"4.11.3","Has the person been able to access any cancer screening/other screening appointments that are due e.g cervical, breast, bowel, diabetic? ","Please select from list"]
[null,"4.11.4","Does the person have any red flags for cancer? \neg. suspicious lumps bumps and moles, persistant cough, blood in stools, bloating etc.","Please select from list"]
[null,4.12,"GP Access"]
[null,"4.12.1","How does the person access their GP?","Provide details:"]
[null,"4.12.2","Are they able to access an emergency GP appointment if required?","Please select from list"]
[null,"4.12.3","Are staff on the unit trained to recognise and respond to a deteriorating patient including identifying the soft signs of deterioration e.g. using deterioration tools such as RESTORE2/NEWS2","Please select from list"]
[null,4.13,"Health Promotion Activities"]
[null,"4.13.1","Does the person have access to targeted lifestyle advice and health promotion activities including:\n     • Smoking cessation advice\n     • Healthy eating and Hydration advice\n     • Physical exercise advice and opportunities to exercise\n     • Community and social opportunities","Please select from list"]
[null,4.1399999999999997,"Recent Hospital Admissions"]
[null,"4.14.1","Has the person had any recent acute hospital admissions?  ","Please select from list"]
[null,null,"  • what was the cause of those admissions? ","Provide details:"]
[null,null,"  • how long were they in hospital? ","Provide details:"]
[null,null,"  • have there been any follow ups?","Please select from list"]
[null,4.1500000000000004,"DNACPR"]
[null,"4.15.1","Is there a DNACPR in place?","Please select from list"]
[null,null,"If so, it is appropriate and has it been discussed with the person and family?","Please select from list"]
[null,4.16,"Are there any other matters relating to the person's physical health that need to be brought to the attention of the Panel?"]
[null,4.17,"Additional information?"]
[]
[null,"Level of Confidence in care provision following review of Physical Health",null,null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"PH1",null,null,null,"-"]
[null,"PH2",null,null,null,"-"]
[null,"PH3",null,null,null,"-"]
[null,"PH4",null,null,null,"-"]
[null,"PH5",null,null,null,"-"]
[null,"PH6",null,null,null,"-"]

{"sheet":"MHLDA","index":6,"n_rows":64,"n_cols":6,"rows_kept":64,"cut":false,"hidden":false,"merged":[[0,1,0,6],[1,1,1,4],[25,1,26,1],[19,2,19,3],[28,2,28,3],[39,2,39,3],[46,2,46,3],[55,1,55,3],[2,2,3,3],[35,1,37,1],[29,1,31,1],[32,1,34,1]]}
[null,"STEP 5: Key Lines of Enquiry (KLOE) to support learning disability, autism and mental health"]
[]
[null,null,"Please ensure that where an unmet need is identified, there is a corresponding reparative action stated below\n\nWhere assessments have not been undertaken and/or plans are not in place or up-to-date, ask \"why not?\"\n\nNo Panel should ever ask all of the questions provided below.  These are to be used as prompts to engage and steer the conversation to facilitate a productive CTR",null,"Supporting Questions and Prompts"]
[]
[]
[null,"No.","KLOE","Responses","Comments/Actions"]
[null,5.0999999999999996,"Diagnosis of Learning Disability, Autism, Mental Health conditions"]
[null,"5.1.1","Does the person have a diagnosis of a learning disability?","Please select from list"]
[null,"5.1.2","Does the person have a diagnosis of autism?","Please select from list"]
[null,"5.1.3","Does the person display any distress behaviours that could be considered to be challenging?","Please select from list"]
[null,"5.1.4","Does the person have a documented clinical formulation?","Please select from list"]
[null,"5.1.5","Does the person have an additional mental health diagnosis?","Please select from list"]
[null,"5.1.6","Are there any concerns about the person's capacity in relation to:\n      - managing their physical health conditions?","Please select from list"]
[null,null,"      - consenting to medication?","Please select from list"]
[null,null,"      - managing their own finances?","Please select from list"]
[null,null,"      - consenting to their treatment plan?","Please select from list"]
[null,null,"      - challenging their detention?","Please select from list"]
[null,null,"Does their capacity for any of the above need to be reviewed?","Please select from list"]
[null,"5.1.7","Is there a good understanding of how any mental health diagnosis interacts with their learning disability and/or autism?","Please select from list"]
[null,5.2,"Treatment Plan Review"]
[null,"5.2.1","Is there a clear MDT treatment plan linked to a formulation/diagnosis?","Please select from list"]
[null,"5.2.2","Is the person having psychological support or interventions, such as talking therapy, counselling, psychology, etc.?","Please select from list"]
[null,"5.2.3","What psychological interventions is the person receiving?","    Provide details:"]
[null,null,"Are any psychological intervention in line with NICE guidance?","Please select from list"]
[null,"5.2.4","Can the treatment plan only be managed in a hospital setting?","Please select from list"]
[null,"5.2.5","What are the current outcome measures?","    Provide details:"]
[null,null,"Do they provide evidence of efficacy for the current treatment?","Please select from list"]
[null,"5.2.6","What are the timescales for treatment delivery?","    Provide details:"]
[null,5.3,"Assessment of Needs and Reasonable Adjustments"]
[null,"5.3.1","Has the person had a communication assessment?  ","Please select from list"]
[null,null,"   - Are their identified needs being met?  ","Please select from list"]
[null,null,"   - Is an assessment required?","Please select from list"]
[null,"5.3.2","Has the person had a sensory assessment?  ","Please select from list"]
[null,null,"   - Are their identified needs being met?  ","Please select from list"]
[null,null,"   - Is an assessment required?","Please select from list"]
[null,"5.3.3","Has the person had a functional skills assessment?","Please select from list"]
[null,null,"   - Are their identified needs being met?","Please select from list"]
[null,null,"   - Is an assessment required?","Please select from list"]
[null,"5.3.4","Are any reasonable adjustments required to meet the person's needs embedded in the care plan? ","Please select from list"]
[null,5.4,"Mental Health Act / Mental Capacity Act Status"]
[null,"5.4.1","Is there a clear rationale for the use of the Mental Health Act and/or Mental Capacity Act (e.g. Liberty Protection Safeguards)?","Please select from list"]
[null,null,"Is this evidenced in the paperwork provided by the inpatient clinical team?","Please select from list"]
[null,"5.4.2","Is this person detained under the Mental Health Act?","Please select from list"]
[null,null,"When did the person last have section 17 leave?","    Insert date:"]
[null,null,"When are they next expected to have section 17 leave?","    Insert date:"]
[null,null,"If there has been no section 17 leave, why not?","    Provide details:"]
[null,5.5,"First Tier Mental Health Tribunal"]
[null,"5.5.1","Has the person requested a First Tier Mental Health Tribunal?","Please select from list"]
[null,null,"When was the last Tribunal?","    Insert date:"]
[null,null,"When was the last Managers Hearing?","    Insert date:"]
[null,null,"If this has not happened then why not?","    Provide details:"]
[null,null,"Have they had access to a solicitor for advice re: Tribunal, if not why?","Please select from list"]
[null,null,"When was the last time they were seen by them?","    Insert date:"]
[null,5.6,"Additional information?"]
[]
[null,"Level of Confidence in care provision following review of Mental Health",null,null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"MH1",null,null,null,"-"]
[null,"MH2",null,null,null,"-"]
[null,"MH3",null,null,null,"-"]
[null,"MH4",null,null,null,"-"]
[null,"MH5",null,null,null,"-"]
[null,"MH6",null,null,null,"-"]

{"sheet":"Medication","index":7,"n_rows":43,"n_cols":6,"rows_kept":43,"cut":false,"hidden":false,"merged":[[34,1,34,3],[0,1,0,6],[2,2,3,3]]}
[null,"STEP 6: Key Lines of Enquiry (KLOE) to support Medication"]
[]
[null,null,"These questions should be shared with the Unit in advance of the CTR to be completed and returned not less than 10 days in advance of the Panel meeting\n\nPlease ensure that where an unmet need is identified, there is a corresponding reparative action stated below.\n\nWhere assessments have not been undertaken and/or plans are not in place or up-to-date, ask \"why not?\"",null,"Supporting Questions and Prompts"]
[]
[]
[null,"No.","KLOE","Responses","Comments/Actions"]
[null,6.1,"Current Prescribed Medication"]
[null,"6.1.1","List all prescribed medication including any PRN medication, stating what they are for, their planned outcomes and measurements, whether there is documented indication for each including a mental health diagnosis or target set of behaviour thought to be challenging","    Provide details:"]
[null,6.2,"Monitoring of Medication"]
[null,"6.2.1","Is there a diagnosis / rationale / indication for medication with clear timescales and plans for monitoring, review and discontinuation?","Please select from list"]
[null,"6.2.2","Is there documented evidence of appropriate baseline and ongoing medication monitoring?","Please select from list"]
[null,"6.2.3","Are there any medication issues that require the person to remain in hospital?  If yes, provide details","Please select from list"]
[null,6.3,"Consent to Medication"]
[null,"6.3.1","Are there any capacity issues in relation to making decisions about medication? e.g. T2, SOAD & T3, ","Please select from list"]
[null,"6.3.2","Is there general agreement of the MDT, the family (and if possible the person) that all the medication is necessary? ","Please select from list"]
[null,6.4,"Medication Reviews"]
[null,"6.4.1","When did the person last have a Medication Review?\nWho undertook the review?\nWhat were the recommendations?","    Provide details:"]
[null,"6.4.2","Are all medications within therapeutic ranges (NICE, BNF)?\nIf not, what are the plans to reduce?","Please select from list"]
[null,"6.4.3","Is there evidence that the medicines are effective and need to continue in line with the principles of STOMP STAMP?","Please select from list"]
[null,"6.4.4","Are any of the medications prescribed off label?  If so, why?","Please select from list"]
[null,6.5,"Side Effects"]
[null,"6.5.1","Is the person monitored for side-effects of medication in particular psychotropic medications  e.g. weight gain, diabetes, blood pressure, movement disorders?","Please select from list"]
[null,"6.5.2","If the person is a female of child-bearing age, are they prescribed valporate?","Please select from list"]
[null,null,"Is there consideration for enrolment in the pregnancy prevention programme?","Please select from list"]
[null,6.6,"Psychotropic Medication"]
[null,"6.6.1","Is there a clear rationale for the use of psychotropic medication?","Please select from list"]
[null,"6.6.2","Has the medication been reviewed after 6 weeks if not effective?","Please select from list"]
[null,"6.6.3","Is there a written discontinuation/reduction plan to highlight how medication can be reduced and stopped when no longer needed?","Please select from list"]
[null,6.7,"PRN Medication"]
[null,"6.7.1","Do you have concerns regarding the frequency/quantity of PRN medication administered?  ","Please select from list"]
[null,"6.7.2","Provide information regarding use over the last few weeks / months and consider whether there are regular or irregular patterns to it being given?","    Provide details:"]
[null,"6.7.3","Do you have a PRN protocol clearly describing indication for use with monitoring requirements, evidence of appropriate use and timescales for use?","Please select from list"]
[null,6.8,"Additional information?"]
[]
[null,"Level of Confidence in care provision following review of Medication",null,null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"M1",null,null,null,"-"]
[null,"M2",null,null,null,"-"]
[null,"M3",null,null,null,"-"]
[null,"M4",null,null,null,"-"]
[null,"M5",null,null,null,"-"]
[null,"M6",null,null,null,"-"]

{"sheet":"Quality of Life","index":8,"n_rows":42,"n_cols":6,"rows_kept":42,"cut":false,"hidden":false,"merged":[[0,1,0,6],[22,2,22,3],[13,2,13,3],[33,1,33,3],[2,2,3,3]]}
[null,"STEP 7: Key Lines of Enquiry (KLOE) to support Quality of Life"]
[]
[null,null,"Please ensure that where an unmet need is identified, there is a corresponding reparative action stated below.\n\nWhere assessments have not been undertaken and/or plans are not in place or up-to-date, ask \"why not?\"",null,"Supporting Questions and Prompts"]
[]
[]
[null,"Ref:","KLOEs to support Review ","Responses","Comments & Required Actions"]
[null,7.1,"Relationships and Engagment with Family, Friends and Others"]
[null,"7.1.1","Does the person have good relationships with members of their family?","Please select from list"]
[null,"7.1.2","Does the person have friends who stay in touch with them?","Please select from list"]
[null,"7.1.3","Is the person being supported to maintain contact with their family and friends?","Please select from list"]
[null,7.2,"Life Plan"]
[null,"7.2.1","Does the person have a Life plan?","Please select from list"]
[null,"7.2.2","Is the Life plan reviewed regularly?","Please select from list"]
[null,7.3,"Participating in Future Planning and Making Decisions"]
[null,"7.3.1","To what extent is the person involved in making decisions and plans in respect of their:\n- School / Employment\n- Money\n- Health & Body\n- How to spend their free time\n- Personal Care\n- Socialising","Insert details:"]
[null,"7.3.2","Is there evidence that the person is involved in the development of their care plan and behaviour support plan?","Please select from list"]
[null,"7.3.3","Is the person able to make meal choices or have opportunities to prepare their own food?","Please select from list"]
[null,"7.3.4","Is the person able to choose what they wear?","Please select from list"]
[null,7.4,"Training, Education and Employment"]
[null,"7.4.1","If the person is under the age of 25, do they have an Education Health and Care Plan?  If not, do they need one?","Please select from list"]
[null,"7.4.2","Has the person got access to training and education opportunities? ","Please select from list"]
[null,"7.4.3","Is the person offered the opportunity to learn new skills and take up new activities? ","Please select from list"]
[null,7.5,"Activities, Interests and Hobbies"]
[null,"7.5.1","Does the person have a choice about how they spend their time and are they able to do things they enjoy?","Please select from list"]
[null,"7.5.2","Is the person supported to maintain the interests, skills and activities they pursued prior to being admitted to hospital?","Please select from list"]
[null,"7.5.3","Does the person have access to fresh air?\nAre they being supported to get fresh air and how often?","Please select from list"]
[null,7.6,"Valuing the Person's Culture, Religion and Individuality"]
[null,"7.6.1","What is being done to support the person to maintain their identity?","Insert details:"]
[null,"7.6.2","What support is in place to ensure the person's ethnicity and cultural needs are met?","Insert details:"]
[null,"7.6.3","What support is in place to ensure the person's religious needs are met?","Insert details:"]
[null,"7.6.4","Is the person's gender and sexual orientation respected?","Please select from list"]
[null,7.7,"Additional information?"]
[]
[null,"Level of Confidence in care provision following review of Quality of Life",null,null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"Q1",null,null,null,"-"]
[null,"Q2",null,null,null,"-"]
[null,"Q3",null,null,null,"-"]
[null,"Q4",null,null,null,"-"]
[null,"Q5",null,null,null,"-"]
[null,"Q6",null,null,null,"-"]

{"sheet":"Safety & Risks","index":9,"n_rows":48,"n_cols":6,"rows_kept":48,"cut":false,"hidden":false,"merged":[[33,2,33,3],[39,1,39,3],[2,2,3,3],[0,1,0,6],[26,1,31,1],[12,2,12,3],[18,2,18,3]]}
[null,"STEP 8: Key Lines of Enquiry (KLOE) to support Safety & Risks"]
[]
[null,null,"Please ensure that where an unmet need is identified, there is a corresponding reparative action stated below.\n\nWhere assessments have not been undertaken and/or plans are not in place or up-to-date, ask \"why not?\"",null,"Supporting Questions and Prompts"]
[]
[]
[null,"Ref:","KLOEs to support Review ","Responses","Comments & Required Actions"]
[null,8.1,"Risk of Harm to the Person and Others"]
[null,"8.1.1","Does the person pose a risk to themselves?\nIf so, please provide details and include the adjustments that are being made","Please select from list"]
[null,"8.1.2","Does the person pose a risk to others?  \nIf so, please provide details and include the adjustments that are being made","Please select from list"]
[null,"8.1.3","Has the person been subjected to and/or are they at risk of:\n - physical abuse\n - psychological abuse\n - sexual abuse\n - financial abuse\n - exploitation\nIf so, what actions are being taken to ensure they are supported?\nHow is this being monitored and managed?","Please select from list"]
[null,"8.1.4","Is the hospital environment causing harm to the person? \nIf so, please provide details of the actions being taken to ensure they are supported","Please select from list"]
[null,"8.1.5","Does the ward environment have CCTV?\nIf so is there a clear policy and procedure regarding its use?","Please select from list"]
[null,8.1999999999999993,"Safeguarding and Serious Incidents"]
[null,"8.2.1","Since the last review (or admission) has the person been the subject of any safeguarding concerns?","Please select from list"]
[null,null,"Was a safeguarding referral made?","Please select from list"]
[null,"8.2.2","Has the person been subject to a previous move from an inpatient service due to abuse / quality / safeguarding concerns?","Please select from list"]
[null,null,"What trauma informed support is being provided for the person?","Provide details:"]
[null,"8.2.3","Does the service contact the person’s family / carers when a safeguarding concern is raised, or an incident occurs?","Please select from list"]
[null,8.3000000000000007,"Use of Restraint, Seclusion and Segregation"]
[null,"8.3.1","In the last 6 months have there been episodes where the person has been subject to restraint?","Please select from list"]
[null,"8.3.2","If the person has been restrained, how many times and what type of restraint was used?","Provide details:"]
[null,"8.3.3","In the last 6 months how many times has the person been subjected to seclusion or segregation?","Provide details:"]
[null,"8.3.4","Is the person subject to long term segregation?","Please select from list"]
[null,null,"Are reviews ongoing and monitored in line with seclusions and segregation policy?","Please select from list"]
[null,"8.3.5","Has the person attended at A&E, an Urgent Care Centre, or seen a GP or nurse following any incidents?","Please select from list"]
[null,"8.3.6","Is there evidence that the person and staff were spoken to following each seclusion, segregation or incident and supported to review?","Please select from list"]
[null,"8.3.7","Are restraint and/or seclusion used as part of the person's treatment:","Please select from list"]
[null,null," - is there a care plan to specify how restraint should be used?","Please select from list"]
[null,null," - is it proportionate to the risk? ","Please select from list"]
[null,null," - is it being followed? ","Please select from list"]
[null,null," - does it link to other relevant care plans e.g. PBS plan","Please select from list"]
[null,null," - is it reviewed to ensure least restrictive practice?","Please select from list"]
[null,"8.3.8","Is there a Care Plan which utilises an agreed approach to supporting people in distress? e.g. PBS/ trauma informed etc.","Please select from list"]
[null,8.4,"Supporting the Person's Rights"]
[null,"8.4.1","Are the recommendations from previous CTR's incorporated into the person's Care Plan?","Please select from list"]
[null,"8.4.2","Are set actions regularly reviewed at MDT meetings (or elsewhere) and progress recorded/updated?","Please select from list"]
[null,"8.4.3","Is this person regularly reviewed as part of the DSR risk stratification process?","Please select from list"]
[null,8.5,"Additional information?"]
[]
[null,"Level of Confidence in care provision following review of Safety & Risk",null,null,"Please select from list"]
[]
[null,"Ref","Summary of action to ensure person's safety","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"R1",null,null,null,"-"]
[null,"R2",null,null,null,"-"]
[null,"R3",null,null,null,"-"]
[null,"R4",null,null,null,"-"]
[null,"R5",null,null,null,"-"]
[null,"R6",null,null,null,"-"]

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[null,"STEP 9: Key Lines of Enquiry (KLOE) to support the Sit and See session"]
[null,"(To be printed off ahead of meeting for senarios where electronic devices are not allowed on ward)"]
[null,"Method of gathering information: \n- This review of the person's environment should be undertaken face to face. \n- The questions in this form have been adapted from the Safe and Wellbeing reviews\n- It is not expected that all of these questions will be answered.  They are to be used as prompts to engage and steer the conversation to facilitate a productive CTR.  \n- Excessive use of questions could inhibit the natural flow of conversation\n",null,"Supporting Questions and Prompts"]
[]
[null,"Please ensure that where an unmet need is identified by the response, there is a corresponding reparative action stated below"]
[null,"No.","KLOE","Comments"]
[null,9.1,"Using Your Senses – Consider What Can I Hear, Smell, See, Feel, Touch?"]
[null,"9.1.1","How does this ward/unit make me feel, how does it smell?"]
[null,"9.1.2","What is the atmosphere like?"]
[null,"9.1.3","What interactions are there between staff/patients/visitors?"]
[null,null,"Things to look out for"]
[null,"9.1.4","Welcoming reception area"]
[null,"9.1.5","Welcome signs (including accessible signage)"]
[null,"9.1.6","Acknowledgement on arrival – eye contact, smiles, a greeting"]
[null,"9.1.7","Information available, clear and visible"]
[null,"9.1.8","Contact information for relatives and visitors is visible"]
[null,"9.1.9","Visiting times are evident"]
[null,"9.1.10","Information about who the staff team are and who the ward manager is"]
[null,"9.1.11","Is there evidence that the ward is accessible including easy read information being available?"]
[null,9.1999999999999993,"Safety"]
[null,"9.2.1","What do I notice about safety issues?"]
[null,"9.2.2","What information tells me about the quality of care here?"]
[null,"9.2.3","How are medicines managed on the ward?"]
[null,"9.2.4","Does the service use CCTV?"]
[null,"9.2.5","Is the environment well maintained, what condition is the environment in, including the bedrooms and bathrooms?"]
[null,null,"Things to look out for"]
[null,"9.2.6","A clean and well-maintained environment. Graffiti/ broken windows/holes in the walls"]
[null,"9.2.7","Hand gels are available and used"]
[null,"9.2.8","Clear information about infection prevention and control and evidence of staff implementing procedures"]
[null,"9.2.9","Rubbish/dirty items and linen are disposed of appropriately and not visible"]
[null,"9.2.10","Equipment and environment appear to be well maintained"]
[null,"9.2.11","Protected times/areas for staff to manage drugs and essential equipment"]
[null,"9.2.12","Patients always have access to drinks"]
[null,"9.2.13","Security and fire procedures are evident"]
[null,9.3000000000000007,"Caring and Involving"]
[null,"9.3.1","What behaviours can I see that do or do not inspire confidence?"]
[null,"9.3.2","Do staff appear to know their patients well?"]
[null,"9.3.3","Are there any indicators that patients and carers are involved in their own care?"]
[null,"9.3.4","How is dignity and privacy being respected?"]
[null,"9.3.5","How are staff interacting with patients (eg do they talk in lower tones when having private conversations)?"]
[null,"9.3.6","Can I observe good team working taking place?"]
[null,"9.3.7","Is people’s clothing in good condition?"]
[null,null,"Things to look out for"]
[null,"9.3.8","Staff are communicating and interacting positively with patients"]
[null,"9.3.9","Patients are dressed to protect their dignity"]
[null,"9.3.10","Information for patients and carers is available in a clear and user-friendly format"]
[null,"9.3.11","Visitors have access to chairs and space to visit"]
[null,"9.3.12","Information about how to complain and compliment is visible and in an accessible format"]
[null,"9.3.13","Signage for how to access advocacy is visible and in an accessible format"]
[null,9.4,"Well Organised and Calm"]
[null,"9.4.1","Does the ward/unit feel calm or chaotic (even if it is busy)?"]
[null,"9.4.2","Is essential information about each patient available for staff?"]
[null,"9.4.3","Does the unit/ward look well organised, clean and uncluttered?"]
[null,9.5,"Additional information?"]
[]
[null,"Level of Confidence in care provision following Sit and See session",null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"SS1",null,null,null,"-"]
[null,"SS2",null,null,null,"-"]
[null,"SS3",null,null,null,"-"]
[null,"SS4",null,null,null,"-"]
[null,"SS5",null,null,null,"-"]
[null,"SS6",null,null,null,"-"]

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[null,"STEP 10: Key Lines of Enquiry (KLOE) to support Future planning"]
[]
[null,null,"Please ensure that where an unmet need is identified, there is a corresponding reparative action stated below.\n\nPlease ensure that the actions that are recorded for any outstanding work necessary to support discharge are SMART.\n\nWhere assessments have not been undertaken and/or plans are not in place or up-to-date, ask \"why not?\"",null,"Supporting Questions and Prompts"]
[]
[]
[null,"When the person is ready to be discharged, where is that likely to be to:",null,null,"Please select from list"]
[]
[null,"Ref:","KLOEs to support Review ","Responses","Comments & Required Actions"]
[null,10.1,"12-point Discharge Plan"]
[null,"10.1.1","Where on the 12-point discharge plan does this person currently sit?","Please select from list"]
[null,"10.1.2","Is there any difference of opinion by the MDT, keyworker, local authority, health and local authority commissioners or other key stakeholders on where the person sits on 12- point discharge plan?","Please select from list"]
[null,10.199999999999999,"Barriers to Discharge"]
[null,"10.2.1","Does the person need to remain in hospital? If so, why?","Please select from list"]
[null,"10.2.2","Are there any barriers that are preventing discharge?","Please select from list"]
[null,null,"Are any steps being taken to address these barriers?","Please select from list"]
[null,10.3,"Engaging the Person and their Family in Planning their Future"]
[null,"10.3.1","Have there been discussions with the person around their options for care and support in the community and the different ways this could be accessed?","Please select from list"]
[null,"10.3.2","Has the person been supported to do any life planning, using tools like PATH/good day, bad day, etc? ","Please select from list"]
[null,10.4,"Accommodation"]
[null,"10.4.1","Has a housing needs assessment been completed with the person? ","Please select from list"]
[null,"10.4.2","What progress has been made in obtaining housing for the person? ","Provide details:"]
[null,"10.4.3","What type of home did the person live in before hospital?  ","Provide details:"]
[null,"10.4.4","Has the person been asked where they would like to live and what support they would like to receive on discharge?","Please select from list"]
[null,"10.4.5","What progress has been made in funding being secured for housing upon discharge?","Provide details:"]
[null,10.5,"Medication"]
[null,"10.5.1","Will a Shared Care Agreement be needed in respect of medication, if so, is this being addressed?","Please select from list"]
[null,"10.5.2","Are there clear and specific medication plans for discharge?","Please select from list"]
[null,"10.5.3","Is there a clear and specific medication plan for transfer including:\n• medication timeline for length of treatment?\n• continuity of medication supply?","Please select from list"]
[null,"10.5.4","Has medication information been shared with the person's GP and Community Team including:\n• diagnosis?\n• length of possible treatment?\n• reduction and discontinuation plan?","Please select from list"]
[null,10.6,"Discharge Plan"]
[null,"10.6.1","Is there a clear dicharge date with an identified discharge destination?","Please select from list"]
[null,"10.6.2","Does the person have a view of the discharge plan?","Please select from list"]
[null,"10.6.3","Are the person and their family actively involved in decisions about their future care?","Please select from list"]
[null,10.7,"Safeguarding Issues "]
[null,"10.7.1","Were there any safeguarding concerns at the point admission, that will require additional planning, to ensure a safe discharge? \nIf so, what plan is in place to mitigate these risks?","Please select from list"]
[null,"10.7.2","If there are any specific safeguarding concerns for this person, are appropriate mitigations in place to safeguard them in their new accommodation?","Please select from list"]
[null,10.8,"Contingency Planning"]
[null,"10.8.1","Does the person have a named care co-ordinator and social worker in the community?","Please select from list"]
[null,"10.8.2","Do they have contingency plans they are happy with that cover a number of different scenarios?","Please select from list"]
[null,"10.8.3","Is there a crisis plan in place?","Please select from list"]
[null,10.9,"Additional information?"]
[]
[null,"Level of Confidence in care provision following Discharge Planning",null,null,"Please select from list"]
[]
[null,"Ref","Summary of Actions to be taken","Target date for completion","Name of person responsible for action, Job Title and Employer","If Urgent select \"Yes\""]
[null,"FP1",null,null,null,"-"]
[null,"FP2",null,null,null,"-"]
[null,"FP3",null,null,null,"-"]
[null,"FP4",null,null,null,"-"]
[null,"FP5",null,null,null,"-"]
[null,"FP6",null,null,null,"-"]

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[null,"STEP 11: SUMMARY"]
[null,"Some of the information on this page automatically pulls through from the other pages.\nPlease check that the language used is easy to understand.  If you need to make changes this will need to be done on the original page.\n"]
[]
[null,"(this section auto-populates when Action summary is completed)   \nPlease press press \"FULL VIEW\" when all other pages have been completed, to enable all information to be displayed",null,null,null,"1\n2\n3\n4"]
[null,"Ref","Summary of Actions to be taken ","Target date for completion","Name, Job Title and Employer of person responsible for action"]
[null,{"$f":"'Person''s Views'!B55","v":"PV1"},{"$f":"'Person''s Views'!C55","v":0},{"$f":"'Person''s Views'!D55","v":"00:00:00"},{"$f":"'Person''s Views'!E55","v":0}]
[null,{"$f":"'Person''s Views'!B56","v":"PV2"},{"$f":"'Person''s Views'!C56","v":0},{"$f":"'Person''s Views'!D56","v":"00:00:00"},{"$f":"'Person''s Views'!E56","v":0}]
[null,{"$f":"'Person''s Views'!B57","v":"PV3"},{"$f":"'Person''s Views'!C57","v":0},{"$f":"'Person''s Views'!D57","v":"00:00:00"},{"$f":"'Person''s Views'!E57","v":0}]
[null,{"$f":"'Person''s Views'!B58","v":"PV4"},{"$f":"'Person''s Views'!C58","v":0},{"$f":"'Person''s Views'!D58","v":"00:00:00"},{"$f":"'Person''s Views'!E58","v":0}]
[null,{"$f":"'Person''s Views'!B59","v":"PV5"},{"$f":"'Person''s Views'!C59","v":0},{"$f":"'Person''s Views'!D59","v":"00:00:00"},{"$f":"'Person''s Views'!E59","v":0}]
[null,{"$f":"'Person''s Views'!B60","v":"PV6"},{"$f":"'Person''s Views'!C60","v":0},{"$f":"'Person''s Views'!D60","v":"00:00:00"},{"$f":"'Person''s Views'!E60","v":0}]
[null,{"$f":"'Family Views'!B48","v":"FV1"},{"$f":"'Family Views'!C48","v":0},{"$f":"'Family Views'!D48","v":"00:00:00"},{"$f":"'Family Views'!E48","v":0}]
[null,{"$f":"'Family Views'!B49","v":"FV2"},{"$f":"'Family Views'!C49","v":0},{"$f":"'Family Views'!D49","v":"00:00:00"},{"$f":"'Family Views'!E49","v":0}]
[null,{"$f":"'Family Views'!B50","v":"FV3"},{"$f":"'Family Views'!C50","v":0},{"$f":"'Family Views'!D50","v":"00:00:00"},{"$f":"'Family Views'!E50","v":0}]
[null,{"$f":"'Family Views'!B51","v":"FV4"},{"$f":"'Family Views'!C51","v":0},{"$f":"'Family Views'!D51","v":"00:00:00"},{"$f":"'Family Views'!E51","v":0}]
[null,{"$f":"'Family Views'!B52","v":"FV5"},{"$f":"'Family Views'!C52","v":0},{"$f":"'Family Views'!D52","v":"00:00:00"},{"$f":"'Family Views'!E52","v":0}]
[null,{"$f":"'Family Views'!B53","v":"FV6"},{"$f":"'Family Views'!C53","v":0},{"$f":"'Family Views'!D53","v":"00:00:00"},{"$f":"'Family Views'!E53","v":0}]
[null,"AV1",{"$f":"Advocate!C32","v":0},{"$f":"Advocate!D32","v":"00:00:00"},{"$f":"Advocate!E32","v":0}]
[null,"AV2",{"$f":"Advocate!C33","v":0},{"$f":"Advocate!D33","v":"00:00:00"},{"$f":"Advocate!E33","v":0}]
[null,"AV3",{"$f":"Advocate!C34","v":0},{"$f":"Advocate!D34","v":"00:00:00"},{"$f":"Advocate!E34","v":0}]
[null,"AV4",{"$f":"Advocate!C35","v":0},{"$f":"Advocate!D35","v":"00:00:00"},{"$f":"Advocate!E35","v":0}]
[null,"AV5",{"$f":"Advocate!C36","v":0},{"$f":"Advocate!D36","v":"00:00:00"},{"$f":"Advocate!E36","v":0}]
[null,"AV6",{"$f":"Advocate!C37","v":0},{"$f":"Advocate!D37","v":"00:00:00"},{"$f":"Advocate!E37","v":0}]
[null,"PH1",{"$f":"'Physical Health'!C91","v":0},{"$f":"'Physical Health'!D92","v":"00:00:00"},{"$f":"'Physical Health'!E91","v":0}]
[null,"PH2",{"$f":"'Physical Health'!C92","v":0},{"$f":"'Physical Health'!D92","v":"00:00:00"},{"$f":"'Physical Health'!E92","v":0}]
[null,"PH3",{"$f":"'Physical Health'!C93","v":0},{"$f":"'Physical Health'!D93","v":"00:00:00"},{"$f":"'Physical Health'!E93","v":0}]
[null,"PH4",{"$f":"'Physical Health'!C94","v":0},{"$f":"'Physical Health'!D94","v":"00:00:00"},{"$f":"'Physical Health'!E94","v":0}]
[null,"PH5",{"$f":"'Physical Health'!C95","v":0},{"$f":"'Physical Health'!D95","v":"00:00:00"},{"$f":"'Physical Health'!E95","v":0}]
[null,"PH6",{"$f":"'Physical Health'!C96","v":0},{"$f":"'Physical Health'!D96","v":"00:00:00"},{"$f":"'Physical Health'!E96","v":0}]
[null,{"$f":"MHLDA!B59","v":"MH1"},{"$f":"MHLDA!C59","v":0},{"$f":"MHLDA!D59","v":"00:00:00"},{"$f":"MHLDA!E59","v":0}]
[null,{"$f":"MHLDA!B60","v":"MH2"},{"$f":"MHLDA!C60","v":0},{"$f":"MHLDA!D60","v":"00:00:00"},{"$f":"MHLDA!E60","v":0}]
[null,{"$f":"MHLDA!B61","v":"MH3"},{"$f":"MHLDA!C61","v":0},{"$f":"MHLDA!D61","v":"00:00:00"},{"$f":"MHLDA!E61","v":0}]
[null,{"$f":"MHLDA!B62","v":"MH4"},{"$f":"MHLDA!C62","v":0},{"$f":"MHLDA!D62","v":"00:00:00"},{"$f":"MHLDA!E62","v":0}]
[null,{"$f":"MHLDA!B63","v":"MH5"},{"$f":"MHLDA!C63","v":0},{"$f":"MHLDA!D63","v":"00:00:00"},{"$f":"MHLDA!E63","v":0}]
[null,{"$f":"MHLDA!B64","v":"MH6"},{"$f":"MHLDA!C64","v":0},{"$f":"MHLDA!D64","v":"00:00:00"},{"$f":"MHLDA!E64","v":0}]
[null,{"$f":"Medication!B38","v":"M1"},{"$f":"Medication!C38","v":0},{"$f":"Medication!D38","v":"00:00:00"},{"$f":"Medication!E38","v":0}]
[null,{"$f":"Medication!B39","v":"M2"},{"$f":"Medication!C39","v":0},{"$f":"Medication!D39","v":"00:00:00"},{"$f":"Medication!E39","v":0}]
[null,{"$f":"Medication!B40","v":"M3"},{"$f":"Medication!C40","v":0},{"$f":"Medication!D40","v":"00:00:00"},{"$f":"Medication!E40","v":0}]
[null,{"$f":"Medication!B41","v":"M4"},{"$f":"Medication!C41","v":0},{"$f":"Medication!D41","v":"00:00:00"},{"$f":"Medication!E41","v":0}]
[null,{"$f":"Medication!B42","v":"M5"},{"$f":"Medication!C42","v":0},{"$f":"Medication!D42","v":"00:00:00"},{"$f":"Medication!E42","v":0}]
[null,{"$f":"Medication!B43","v":"M6"},{"$f":"Medication!C43","v":0},{"$f":"Medication!D43","v":"00:00:00"},{"$f":"Medication!E43","v":0}]
[null,{"$f":"'Quality of Life'!B37","v":"Q1"},{"$f":"'Quality of Life'!C37","v":0},{"$f":"'Quality of Life'!D37","v":"00:00:00"},{"$f":"'Quality of Life'!E37","v":0}]
[null,{"$f":"'Quality of Life'!B38","v":"Q2"},{"$f":"'Quality of Life'!C38","v":0},{"$f":"'Quality of Life'!D38","v":"00:00:00"},{"$f":"'Quality of Life'!E38","v":0}]
[null,{"$f":"'Quality of Life'!B39","v":"Q3"},{"$f":"'Quality of Life'!C39","v":0},{"$f":"'Quality of Life'!D39","v":"00:00:00"},{"$f":"'Quality of Life'!E39","v":0}]
[null,{"$f":"'Quality of Life'!B40","v":"Q4"},{"$f":"'Quality of Life'!C40","v":0},{"$f":"'Quality of Life'!D40","v":"00:00:00"},{"$f":"'Quality of Life'!E40","v":0}]
[null,{"$f":"'Quality of Life'!B41","v":"Q5"},{"$f":"'Quality of Life'!C41","v":0},{"$f":"'Quality of Life'!D41","v":"00:00:00"},{"$f":"'Quality of Life'!E41","v":0}]
[null,{"$f":"'Quality of Life'!B42","v":"Q6"},{"$f":"'Quality of Life'!C42","v":0},{"$f":"'Quality of Life'!D42","v":"00:00:00"},{"$f":"'Quality of Life'!E42","v":0}]
[null,{"$f":"'Safety & Risks'!B43","v":"R1"},{"$f":"'Safety & Risks'!C43","v":0},{"$f":"'Safety & Risks'!D43","v":"00:00:00"},{"$f":"'Safety & Risks'!E43","v":0}]
[null,{"$f":"'Safety & Risks'!B44","v":"R2"},{"$f":"'Safety & Risks'!C44","v":0},{"$f":"'Safety & Risks'!D44","v":"00:00:00"},{"$f":"'Safety & Risks'!E44","v":0}]
[null,{"$f":"'Safety & Risks'!B45","v":"R3"},{"$f":"'Safety & Risks'!C45","v":0},{"$f":"'Safety & Risks'!D45","v":"00:00:00"},{"$f":"'Safety & Risks'!E45","v":0}]
[null,{"$f":"'Safety & Risks'!B46","v":"R4"},{"$f":"'Safety & Risks'!C46","v":0},{"$f":"'Safety & Risks'!D46","v":"00:00:00"},{"$f":"'Safety & Risks'!E46","v":0}]
[null,{"$f":"'Safety & Risks'!B47","v":"R5"},{"$f":"'Safety & Risks'!C47","v":0},{"$f":"'Safety & Risks'!D47","v":"00:00:00"},{"$f":"'Safety & Risks'!E47","v":0}]
[null,{"$f":"'Safety & Risks'!B48","v":"R6"},{"$f":"'Safety & Risks'!C48","v":0},{"$f":"'Safety & Risks'!D48","v":"00:00:00"},{"$f":"'Safety & Risks'!E48","v":0}]
[null,{"$f":"'Sit and See'!B59","v":"SS1"},{"$f":"'Sit and See'!C59","v":0},{"$f":"'Sit and See'!D59","v":"00:00:00"},{"$f":"'Sit and See'!E59","v":0}]
[null,{"$f":"'Sit and See'!B60","v":"SS2"},{"$f":"'Sit and See'!C60","v":0},{"$f":"'Sit and See'!D60","v":"00:00:00"},{"$f":"'Sit and See'!E60","v":0}]
[null,{"$f":"'Sit and See'!B61","v":"SS3"},{"$f":"'Sit and See'!C61","v":0},{"$f":"'Sit and See'!D61","v":"00:00:00"},{"$f":"'Sit and See'!E61","v":0}]
[null,{"$f":"'Sit and See'!B62","v":"SS4"},{"$f":"'Sit and See'!C62","v":0},{"$f":"'Sit and See'!D62","v":"00:00:00"},{"$f":"'Sit and See'!E62","v":0}]
[null,{"$f":"'Sit and See'!B63","v":"SS5"},{"$f":"'Sit and See'!C63","v":0},{"$f":"'Sit and See'!D63","v":"00:00:00"},{"$f":"'Sit and See'!E63","v":0}]
[null,{"$f":"'Sit and See'!B64","v":"SS6"},{"$f":"'Sit and See'!C64","v":0},{"$f":"'Sit and See'!D64","v":"00:00:00"},{"$f":"'Sit and See'!E64","v":0}]
[null,{"$f":"'Future planning'!B46","v":"FP1"},{"$f":"'Future planning'!C46","v":0},{"$f":"'Future planning'!D46","v":"00:00:00"},{"$f":"'Future planning'!E46","v":0}]
[null,{"$f":"'Future planning'!B47","v":"FP2"},{"$f":"'Future planning'!C47","v":0},{"$f":"'Future planning'!D47","v":"00:00:00"},{"$f":"'Future planning'!E47","v":0}]
[null,{"$f":"'Future planning'!B48","v":"FP3"},{"$f":"'Future planning'!C48","v":0},{"$f":"'Future planning'!D48","v":"00:00:00"},{"$f":"'Future planning'!E48","v":0}]
[null,{"$f":"'Future planning'!B49","v":"FP4"},{"$f":"'Future planning'!C49","v":0},{"$f":"'Future planning'!D49","v":"00:00:00"},{"$f":"'Future planning'!E49","v":0}]
[null,{"$f":"'Future planning'!B50","v":"FP5"},{"$f":"'Future planning'!C50","v":0},{"$f":"'Future planning'!D50","v":"00:00:00"},{"$f":"'Future planning'!E50","v":0}]
[null,{"$f":"'Future planning'!B51","v":"FP6"},{"$f":"'Future planning'!C51","v":0},{"$f":"'Future planning'!D51","v":"00:00:00"},{"$f":"'Future planning'!E51","v":0}]
[]
[null,"Confidence ratings summary (this section auto-populates when corresponding tab is completed)"]
[null,"Level of Confidence in care provision following conversations with the person",null,null,{"$f":"'Person''s Views'!E52","v":"Please select from list"}]
[null,"Level of Confidence in care provision following conversations with family",null,null,{"$f":"'Family Views'!E45","v":"Please select from list"}]
[null,"Level of Confidence in care provision following conversations with the Advocate",null,null,{"$f":"Advocate!E29","v":"Please select from list"}]
[null,"Level of Confidence in care provision following review of Physical Health",null,null,{"$f":"'Physical Health'!E88","v":"Please select from list"}]
[null,"Level of Confidence in care provision following review of Mental Health",null,null,{"$f":"MHLDA!E56","v":"Please select from list"}]
[null,"Level of Confidence in care provision following review of Medication",null,null,{"$f":"Medication!E35","v":"Please select from list"}]
[null,"Level of Confidence in care provision following review of Quality of Life",null,null,{"$f":"'Quality of Life'!E34","v":"Please select from list"}]
[null,"Level of Confidence in care provision following review of Safety & Risks",null,null,{"$f":"'Safety & Risks'!E40","v":"Please select from list"}]
[null,"Level of Confidence in care provision following Sit and See session",null,null,{"$f":"'Sit and See'!D56","v":"Please select from list"}]
[null,"Level of Confidence in Future Planning",null,null,{"$f":"'Future planning'!E43","v":"Please select from list"}]
[]
[null,null,"Outcome:",null,"Observations:"]
[null,null,"Please select from list"]
[null,null,"Reason for this"]
[null,null,"Please select from list"]
[null,null,"Please provide details:"]

{"sheet":"Print","index":13,"n_rows":1855,"n_cols":2,"rows_kept":1855,"cut":false,"hidden":false,"merged":[]}
[]
["Care, Education and Treatment Review"]
["Adult Inpatient Key Lines of Enquiry"]
[]
["Details"]
[]
[{"$f":"Details!B5","v":"In advance of the CTR, who has spoken with the person, their family and their advocate about this review? "},{"$f":"Details!C5","v":0}]
[]
[{"$f":"Details!B6","v":"Who will be feeding back to the person, their family and their advocate after the review?"},{"$f":"Details!C6","v":0}]
[]
[{"$f":"Details!B7","v":"List any outstanding actions from the last CTR "},{"$f":"Details!C7","v":0}]
[]
[{"$f":"Details!B8","v":"Date of last inpatient CTR (if applicable)"},{"$f":"Details!C8","v":"00:00:00"}]
[]
[{"$f":"Details!B9","v":"Information about the person being reviewed:"}]
[]
[{"$f":"Details!B10","v":"Reason for this review"},{"$f":"Details!C10","v":"Please select from list"}]
[]
[{"$f":"Details!B11","v":"Person's CTR unique identifier"},{"$f":"Details!C11","v":0}]
[]
[{"$f":"Details!B12","v":"Responsible ICB"},{"$f":"Details!C12","v":"Please select from list"}]
[]
[{"$f":"Details!B13","v":"Name of Provider"},{"$f":"Details!C13","v":0}]
[]
[{"$f":"Details!B14","v":"Type of Provider"},{"$f":"Details!C14","v":"Please select from list"}]
[]
[{"$f":"Details!B15","v":"Name of Inpatient Unit"},{"$f":"Details!C15","v":"Please select from list"}]
[]
[{"$f":"Details!B16","v":"If site (not listed) please specify"},{"$f":"Details!C16","v":0}]
[]
[{"$f":"Details!B17","v":"Name of Host Commissioner"},{"$f":"Details!C17","v":0}]
[]
[{"$f":"Details!B18","v":"Level of Security"},{"$f":"Details!C18","v":"Please select from list"}]
[]
[{"$f":"Details!B19","v":"Basis of Consent for Review"},{"$f":"Details!C19","v":"Please select from list"}]
[]
[{"$f":"Details!B20","v":"Mental Health Act Legal status"},{"$f":"Details!C20","v":"Please select from list"}]
[]
[{"$f":"Details!B21","v":"Date of this admission   (dd/mm/yyyy)"},{"$f":"Details!C21","v":"00:00:00"}]
[]
[{"$f":"Details!B22","v":"Date of admission to inpatient care (if transferred from another setting) (dd/mm/yyyy)"},{"$f":"Details!C22","v":"00:00:00"}]
[]
[{"$f":"Details!B23","v":"Was there a community CTR? "},{"$f":"Details!C23","v":"Please select from list"}]
[]
[{"$f":"Details!B24","v":"Date community CTR held   (dd/mm/yyyy)"},{"$f":"Details!C24","v":"00:00:00"}]
[]
[{"$f":"Details!B25","v":"What were the recommendations and findings?"},{"$f":"Details!C25","v":0}]
[]
[{"$f":"Details!B26","v":"Reason for admission, relevant history and adverse childhood events:\ninclude any relevant family history, education history etc. which could impact on the person's wellbeing"},{"$f":"Details!C26","v":0}]
[]
[{"$f":"Details!B27","v":"Information about the Panel:"}]
[]
[{"$f":"Details!B28","v":"Date of Review   (dd/mm/yyyy)"},{"$f":"Details!C28","v":"00:00:00"}]
[]
[{"$f":"Details!B29","v":"Has the panel completed a CTR for the person before?"},{"$f":"Details!C29","v":"Please select from list"}]
[]
[{"$f":"Details!B30","v":"Chair   (responsible commissioner or person with delegated authority)"},{"$f":"Details!C30","v":0}]
[]
[{"$f":"Details!B31","v":"Independent expert by experience"},{"$f":"Details!C31","v":0}]
[]
[{"$f":"Details!B32","v":"Independent clinical expert"},{"$f":"Details!C32","v":0}]
[]
[{"$f":"Details!B33","v":"Other Panel member (eg. Pharmacist, MHA Reviewer from CQC)"},{"$f":"Details!C33","v":0}]
[]
[{"$f":"Details!B34","v":"Family members / siblings / carer"},{"$f":"Details!C34","v":0}]
[]
[{"$f":"Details!B35","v":"Advocate "},{"$f":"Details!C35","v":0}]
[]
[{"$f":"Details!B36","v":"Commissioner responsible for person's care upon discharge"},{"$f":"Details!C36","v":0}]
[]
[{"$f":"Details!B37","v":"Responsible clinician"},{"$f":"Details!C37","v":0}]
[]
[{"$f":"Details!B38","v":"Senior nurse / clinical staff"},{"$f":"Details!C38","v":0}]
[]
[{"$f":"Details!B39","v":"Social Care Professional e.g social worker"},{"$f":"Details!C39","v":0}]
[]
[{"$f":"Details!B40","v":"Education Professional"},{"$f":"Details!C40","v":0}]
[]
[{"$f":"Details!B41","v":"\"Aftercare\" team: community psychiatrist, community nurse, social worker, education provider"},{"$f":"Details!C41","v":0}]
[]
[{"$f":"Details!B42","v":"Other (please specify)"},{"$f":"Details!C42","v":0}]
[]
[{"$f":"Details!B43","v":"Other (please specify)"},{"$f":"Details!C43","v":0}]
[]
[{"$f":"Details!B44","v":"Important parties who did not attend the review"},{"$f":"Details!C44","v":0}]
[]
[{"$f":"Details!B45","v":"DSR information:"}]
[]
[{"$f":"Details!B46","v":"Name of lead professional responsible for care plan?"},{"$f":"Details!C46","v":0}]
[]
[{"$f":"Details!B47","v":"Date of last review of care plans and risk assessment?    (dd/mm/yyyy)"},{"$f":"Details!C47","v":"00:00:00"}]
[]
[{"$f":"Details!B48","v":"Is the person on their local Dynamic Support Register?"},{"$f":"Details!C48","v":"Please select from list"}]
[]
[{"$f":"Details!B49","v":"Who is responsible for adding the person to the Dynamic Support Register?"},{"$f":"Details!C49","v":0}]
[]
[{"$f":"Details!B50","v":"Date of most recent consent for inclusion on DSR?   (dd/mm/yyyy)"},{"$f":"Details!C50","v":"00:00:00"}]
[]
[{"$f":"Details!B52","v":"Outcome of CTR: (this section auto-populates when Action summary is completed)"}]
[]
["Person's Views"]
[]
[{"$f":"'Person''s Views'!C6","v":"Did the person answer these questions themselves?"},{"$f":"'Person''s Views'!D6","v":"Please select from list"}]
[]
[{"$f":"'Person''s Views'!C7","v":"If the person had help to answer the questions, please provide the name of the person helping and state their relationship to the person"},{"$f":"'Person''s Views'!D7","v":0}]
[]
[{"$f":"'Person''s Views'!C8","v":"If these questions have not been answered by the person please explain why e.g.  the person is non-verbal, person does not understand the questions, person is in distress or crisis (sensory overload), other reason"},{"$f":"'Person''s Views'!D8","v":0}]
[]
[{"$f":"'Person''s Views'!C12","v":"How safe do you feel?"},{"$f":"'Person''s Views'!E12","v":0}]
[]
[{"$f":"'Person''s Views'!C13","v":"Do you feel safe here?  \nDo you feel it would be safer for you to live somewhere else? If so, where? \nWhat extra support would help you to live in the community?"},{"$f":"'Person''s Views'!E13","v":0}]
[]
[{"$f":"'Person''s Views'!C14","v":"Are you receiving treatment in hospital?"},{"$f":"'Person''s Views'!E14","v":0}]
[]
[{"$f":"'Person''s Views'!C15","v":"If not, do you understand why you are currently in hospital?"},{"$f":"'Person''s Views'!E15","v":0}]
[]
[{"$f":"'Person''s Views'!C16","v":"What do you think about the care and treatment that you are getting in hospital?"},{"$f":"'Person''s Views'!E16","v":0}]
[]
[{"$f":"'Person''s Views'!C17","v":"Do you feel that the treatment is helping you to get better?\nWhat do you like about the treatment?\nWhat don't you like about the treatment?\nAre there any treatments that you would like to try (animal therapy, art therapy, speech and language therapy)? NB. the resources that are available will be identified within the service specification"},{"$f":"'Person''s Views'!E17","v":0}]
[]
[{"$f":"'Person''s Views'!C18","v":"How is your physical health?"},{"$f":"'Person''s Views'!E18","v":0}]
[]
[{"$f":"'Person''s Views'!C19","v":"Are you keeping fit and well?  How do you like to keep active?\nHow often do you have the opportunity to be active; e.g. sport, walking?\nHow often do you have the opportunity to go outside?\nCan you choose your fitness activities?\nCan you choose when you go outside to play sports or go for a walk? \nCan you do light exercise; e.g. walking, without getting out of breath? \n*Do you understand the importance of eating a balanced diet?\n*Do you feel that you are a healthy weight?\nWhat is the food like?  Are there healthy choices?\nDo you get to see a Doctor if you are feeling unwell?  \nDo you have a regular Doctor that you see and trust?\nDo you have any long-term conditions such as epilepsy, asthma or diabetes?  If so, do you have regular checks for them?\nHave you had an annual health check?\nDo you have the opportunity to attend regular health checks with your GP, Dentist, Podiatrist, Optician?\n"},{"$f":"'Person''s Views'!E19","v":0}]
[]
[{"$f":"'Person''s Views'!C20","v":"If Transgender: \nAre you receiving frequent support e.g. blood tests and monitoring of your hormone levels?  \nDo you feel supported to express yourself?  \nDo you require any additional information or access to support in relation to your gender?  \nHave you been tested for hypermobility?"},{"$f":"'Person''s Views'!E20","v":0}]
[]
[{"$f":"'Person''s Views'!C21","v":"Are your personal care needs met?"},{"$f":"'Person''s Views'!E21","v":0}]
[]
[{"$f":"'Person''s Views'!C22","v":"If you need help, do the staff help you to: \n - have a bath or a shower\n - wash your hair\n - use the toilet\n - brush your teeth\n - select and put on clothes\n - wash clothes"},{"$f":"'Person''s Views'!E22","v":0}]
[]
[{"$f":"'Person''s Views'!C23","v":"Are any changes required to your medication?"},{"$f":"'Person''s Views'!E23","v":0}]
[]
[{"$f":"'Person''s Views'!C24","v":"Do you know what medicine you are taking?\nDo you know what your medicines are for?\nAre you given medication related information in a format that is right for you? e.g. easy read leaflets/plain English etc.                                                                                         \nDo the staff help you take tablets or apply creams?\nDo you take your medication regularly?\nAre you a part of and having regular medicine reviews where you can talk to the doctor or pharmacist about them?\nDo you feel ok about the medicines that you take?\nDo you experience any side effects from the medication?\nDo you think your medicine is helping you?\nAre you taking contraceptive medication?\nAre you menstruating or menopausal?"},{"$f":"'Person''s Views'!E24","v":0}]
[]
[{"$f":"'Person''s Views'!C25","v":"How is your mental health?"},{"$f":"'Person''s Views'!E25","v":0}]
[]
[{"$f":"'Person''s Views'!C26","v":"How often do you feel sad or anxious?\nWho do you talk to when you feel sad or anxious?\nHow does feeling sad or anxious stop you doing things or seeing people that you like or otherwise impact on your day-to-day life?\n"},{"$f":"'Person''s Views'!E26","v":0}]
[]
[{"$f":"'Person''s Views'!C27","v":"Are you involved in planning your future care and treatment?"},{"$f":"'Person''s Views'!E27","v":0}]
[]
[{"$f":"'Person''s Views'!C28","v":"Do you take part in meetings about your future care and treatment? including: \n- Care planning meetings\n- Care and Treatment reviews\n- Discharge Planning meetings e.g. housing "},{"$f":"'Person''s Views'!E28","v":0}]
[]
[{"$f":"'Person''s Views'!C29","v":"Are your advocacy needs being met?"},{"$f":"'Person''s Views'!E29","v":0}]
[]
[{"$f":"'Person''s Views'!C30","v":"Who do you talk to when you have a problem?\nAn advocate is someone who can help you speak up and ask questions or raise concerns for you:\nDo you have an advocate?\nWhat type of advocate do you have?  e.g. family/friend, legal, independant mental health advocate (IMHA) etc.\nHow often do you speak to your advocate?\nDo you need/get any help to contact your advocate?\nDoes your advocate help you plan for your C(E)TR, and afterwards?\t\nIf you don't have an advocate, would you like one? \nWho helps you prepare for meetings?"},{"$f":"'Person''s Views'!E30","v":0}]
[]
[{"$f":"'Person''s Views'!C31","v":"Are your sensory needs being met?"},{"$f":"'Person''s Views'!E31","v":0}]
[]
[{"$f":"'Person''s Views'!C32","v":"Suggested topics: \n - Sensory processing\n - Emotional processing\n - Masking\n - Textures / Sounds / Tastes / Light\n - Inter-o-ception"},{"$f":"'Person''s Views'!E32","v":0}]
[]
[{"$f":"'Person''s Views'!C33","v":"Relationships - Do you spend time with parents,other family members, friends, etc.?"},{"$f":"'Person''s Views'!E33","v":0}]
[]
[{"$f":"'Person''s Views'!C34","v":"Which family or friends do you like to spend time with?  \nIs this in person, by telephone or video call? Are your partner(s) or significant other(s) able to visit you?\nHow do you spend time with your family and friends? Do you get a choice in this?\nAre you accessing section 17 leave?  \nIf so, is it enough? \nDoes it allow you to do what you want to do?"},{"$f":"'Person''s Views'!E34","v":0}]
[]
[{"$f":"'Person''s Views'!C35","v":"What does your day look like?"},{"$f":"'Person''s Views'!E35","v":0}]
[]
[{"$f":"'Person''s Views'!C36","v":"What activities do you enjoy and are you able to do these activities in hospital?  \nWhat interests do you have and are you able to partake in these interests in hospital?\nDo you take part in activities with other people?\nWho are your main friends in hospital?\nAre there any staff members that you like or dislike?\nAre you supported to express your religious and cultural beliefs? If so, how?\nWhat is the quality of your sleep like?  \nDo you use music, weighted blankets etc. to help improve your sleep?"},{"$f":"'Person''s Views'!E36","v":0}]
[]
[{"$f":"'Person''s Views'!C37","v":"Environment - Are you happy with your living space?"},{"$f":"'Person''s Views'!E37","v":0}]
[]
[{"$f":"'Person''s Views'!C38","v":"What do you like or dislike about your room?\nIs the lighting ok for you?\nDoes everywhere smell ok?  \nIs everywhere clean?\nDo the toilets, taps and showers work?\nIt the hospital too noisy or quiet?\nIs there a quiet room?  Is there a sensory room?"},{"$f":"'Person''s Views'!E38","v":0}]
[]
[{"$f":"'Person''s Views'!C39","v":"Quality of life"},{"$f":"'Person''s Views'!E39","v":0}]
[]
[{"$f":"'Person''s Views'!C40","v":"Do people treat you well? \nTell us about your hobbies and interests?\nWhat are your hopes and ambitions?\nWhat makes you feel well and happy?\nWhat would you never want to lose?"},{"$f":"'Person''s Views'!E40","v":0}]
[]
[{"$f":"'Person''s Views'!C41","v":"Preparing for discharge to community"},{"$f":"'Person''s Views'!E41","v":0}]
[]
[{"$f":"'Person''s Views'!C42","v":"Where would you like to live in the future?\nWho would you like to live with / near?\nWhat kind of neighbourhood would you like e.g. Countryside / Town?\nDo you have any sensory needs that need to be considered as part of your accommodation?\nWhat type of housing would you like? bungalow / flat / house\nWould you like to return to your previous home?"},{"$f":"'Person''s Views'!E42","v":0}]
[]
[{"$f":"'Person''s Views'!C43","v":"Observational prompts where patient is non-verbal or does not engage"},{"$f":"'Person''s Views'!E43","v":0}]
[]
[{"$f":"'Person''s Views'!C44","v":"Are they crying or sad? \nAre they out of breath when they walk or talk?\nHow do they report feeling pain?  \nDo they look well-groomed / shaven? \nDo they smell fresh?\nAre their teeth clean?\nDo their clothes fit?\nDo they engage in the arranged activities?"},{"$f":"'Person''s Views'!E44","v":0}]
[]
[{"$f":"'Person''s Views'!C45","v":"Additional information?"},{"$f":"'Person''s Views'!E45","v":0}]
[]
[{"$f":"'Person''s Views'!C47","v":"Feedback"}]
[]
[{"$f":"'Person''s Views'!C48","v":"Who would you like to contact you after this review?"},{"$f":"'Person''s Views'!E48","v":0}]
[]
[{"$f":"'Person''s Views'!C49","v":"How would you like the feedback to be shared with you e.g. written report or a conversation and by whom?"},{"$f":"'Person''s Views'!E49","v":0}]
[]
[{"$f":"'Person''s Views'!C50","v":"Following the review, the commissioner should ask \"Would you like the same Panel to do your next review?\""},{"$f":"'Person''s Views'!E50","v":0}]
[]
[{"$f":"'Person''s Views'!B52","v":"Level of Confidence in care provision following conversations with the person"},{"$f":"'Person''s Views'!E52","v":"Please select from list"}]
[]
[{"$f":"'Person''s Views'!B54","v":"Ref."}]
[{"$f":"'Person''s Views'!B55","v":"PV1"},{"$f":"'Person''s Views'!C54","v":"Summary of Actions to be taken following \ndiscussion with the person"}]
[null,{"$f":"'Person''s Views'!C55","v":0}]
[]
[null,{"$f":"'Person''s Views'!D54","v":"Target date for completion"}]
[null,{"$f":"'Person''s Views'!D55","v":"00:00:00"}]
[]
[null,{"$f":"'Person''s Views'!E54","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Person''s Views'!E55","v":0}]
[]
[null,{"$f":"'Person''s Views'!F54","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Person''s Views'!F55","v":"-"}]
[]
[{"$f":"'Person''s Views'!B56","v":"PV2"},{"$f":"B188","v":"Summary of Actions to be taken following \ndiscussion with the person"}]
[null,{"$f":"'Person''s Views'!C56","v":0}]
[]
[null,{"$f":"B191","v":"Target date for completion"}]
[null,{"$f":"'Person''s Views'!D56","v":"00:00:00"}]
[]
[null,{"$f":"B194","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Person''s Views'!E56","v":0}]
[]
[null,{"$f":"B197","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Person''s Views'!F56","v":"-"}]
[]
[{"$f":"'Person''s Views'!B57","v":"PV3"},{"$f":"B200","v":"Summary of Actions to be taken following \ndiscussion with the person"}]
[null,{"$f":"'Person''s Views'!C57","v":0}]
[]
[null,{"$f":"B203","v":"Target date for completion"}]
[null,{"$f":"'Person''s Views'!D57","v":"00:00:00"}]
[]
[null,{"$f":"B206","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Person''s Views'!E57","v":0}]
[]
[null,{"$f":"B209","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Person''s Views'!F57","v":"-"}]
[]
[{"$f":"'Person''s Views'!B58","v":"PV4"},{"$f":"B212","v":"Summary of Actions to be taken following \ndiscussion with the person"}]
[null,{"$f":"'Person''s Views'!C58","v":0}]
[]
[null,{"$f":"B215","v":"Target date for completion"}]
[null,{"$f":"'Person''s Views'!D58","v":"00:00:00"}]
[]
[null,{"$f":"B218","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Person''s Views'!E58","v":0}]
[]
[null,{"$f":"B221","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Person''s Views'!F58","v":"-"}]
[]
[{"$f":"'Person''s Views'!B59","v":"PV5"},{"$f":"B224","v":"Summary of Actions to be taken following \ndiscussion with the person"}]
[null,{"$f":"'Person''s Views'!C59","v":0}]
[]
[null,{"$f":"B227","v":"Target date for completion"}]
[null,{"$f":"'Person''s Views'!D59","v":"00:00:00"}]
[]
[null,{"$f":"B230","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Person''s Views'!E59","v":0}]
[]
[null,{"$f":"B233","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Person''s Views'!F59","v":"-"}]
[]
[{"$f":"'Person''s Views'!B60","v":"PV6"},{"$f":"B236","v":"Summary of Actions to be taken following \ndiscussion with the person"}]
[null,{"$f":"'Person''s Views'!C60","v":0}]
[]
[null,{"$f":"B239","v":"Target date for completion"}]
[null,{"$f":"'Person''s Views'!D60","v":"00:00:00"}]
[]
[null,{"$f":"B242","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Person''s Views'!E60","v":0}]
[]
[null,{"$f":"B245","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Person''s Views'!F60","v":"-"}]
[]
["Family Views"]
[]
[{"$f":"'Family Views'!C6","v":"Name(s) of family member(s) / carer(s) expressing their views:"},{"$f":"'Family Views'!E6","v":0}]
[]
[{"$f":"'Family Views'!C7","v":"Relationship to Person:"},{"$f":"'Family Views'!E7","v":0}]
[]
[{"$f":"'Family Views'!C8","v":"Date of Contact:    dd/mm/yyyy"},{"$f":"'Family Views'!E8","v":"00:00:00"}]
[]
[{"$f":"'Family Views'!C12","v":"Were you given any information ahead of today's CTR?"},{"$f":"'Family Views'!E12","v":0}]
[]
[{"$f":"'Family Views'!C13","v":"Do you think your friend / family member is safe in the hospital?"},{"$f":"'Family Views'!E13","v":0}]
[]
[{"$f":"'Family Views'!C14","v":"Has your friend / family member told you they are not safe? Or do you have any concerns?"},{"$f":"'Family Views'!E14","v":0}]
[]
[{"$f":"'Family Views'!C15","v":"Is there anything else that needs to be done better or differently?"},{"$f":"'Family Views'!E15","v":0}]
[]
[{"$f":"'Family Views'!C16","v":"How do you think your friend / family member's mental health is?"},{"$f":"'Family Views'!E16","v":0}]
[]
[{"$f":"'Family Views'!C17","v":"How do you think your friend / family member is feeling in hospital?"},{"$f":"'Family Views'!E17","v":0}]
[]
[{"$f":"'Family Views'!C18","v":"Do you think that things are getting better for your friend / family member in the hospital?"},{"$f":"'Family Views'!E18","v":0}]
[]
[{"$f":"'Family Views'!C19","v":"Is your friend / family member having their physical health needs met?"},{"$f":"'Family Views'!E19","v":0}]
[]
[{"$f":"'Family Views'!C20","v":"Does your friend / family member see a doctor if they are feeling ill or for health checks?\nDo staff ask the right questions if they are feeling ill?"},{"$f":"'Family Views'!E20","v":0}]
[]
[{"$f":"'Family Views'!C21","v":"Does your friend / family member have other regular health checks such as:\n - eye tests \n - dental checks\n - checks for other-long term conditions?"},{"$f":"'Family Views'!E21","v":0}]
[]
[{"$f":"'Family Views'!C22","v":"Do you think your friend / family member is getting the right medication?"},{"$f":"'Family Views'!E22","v":0}]
[]
[{"$f":"'Family Views'!C23","v":"Do they have regular medication reviews?\nDo they feel okay about the medication they take?                                                                                               \nAre you involved in helping your friend / family member to take medication?                                                                        "},{"$f":"'Family Views'!E23","v":0}]
[]
[{"$f":"'Family Views'!C24","v":"Is your friend / family member having their personal needs met?"},{"$f":"'Family Views'!E24","v":0}]
[]
[{"$f":"'Family Views'!C25","v":"Do staff help your friend / family member to take care of themself if they need help with, for example:\n- washing\n- taking tablets\n- machines to help them sleep\n- looking after their teeth"},{"$f":"'Family Views'!E25","v":0}]
[]
[{"$f":"'Family Views'!C26","v":"How do you feel about the care being provided?"},{"$f":"'Family Views'!E26","v":0}]
[]
[{"$f":"'Family Views'!C27","v":"Is there anything that you are worried about in respect of friend / family member's: \n·  mental health concerns\n·  physical health concerns? Have they gained/lost weight?\n·  have they had their annual health check (if due)?\n·  have they had cancer screening checks e.g. breast, bowel, cervical (if due)?\n·  medication increase, changes or any side effects\n·  physical appearance\n·  environment\n·  changes in behaviour\n·  relationships with staff\n·  anything else?"},{"$f":"'Family Views'!E27","v":0}]
[]
[{"$f":"'Family Views'!C28","v":"Have you shared your views of the care and treatment with the hospital staff?"},{"$f":"'Family Views'!E28","v":0}]
[]
[{"$f":"'Family Views'!C29","v":"Do you feel that your views are listened to by the hospital staff?"},{"$f":"'Family Views'!E29","v":0}]
[]
[{"$f":"'Family Views'!C30","v":"Is the service supporting your friend / family member to keep in contact with you?"},{"$f":"'Family Views'!E30","v":0}]
[]
[{"$f":"'Family Views'!C31","v":"Have you been able to visit your family member / friend and/or communicate with them regularly?\nHow are you keeping in touch?"},{"$f":"'Family Views'!E31","v":0}]
[]
[{"$f":"'Family Views'!C32","v":"If the service is not close to your home, how does the hospital help you visit and stay in touch?"},{"$f":"'Family Views'!E32","v":0}]
[]
[{"$f":"'Family Views'!C33","v":"Is your friend / family member able to live their life well - doing what is important to them?"},{"$f":"'Family Views'!E33","v":0}]
[]
[{"$f":"'Family Views'!C34","v":"What activities does your friend / family member enjoy doing in hospital?\nDo they take part in activities with other people?"},{"$f":"'Family Views'!E34","v":0}]
[]
[{"$f":"'Family Views'!C35","v":"Is your friend / family member supported to stay fit and well?\nDo they get to choose what they eat?\nDo they get to eat food that is good for them?\nDo they cook their own food?\nDo they get to choose what exercise they do?\nHow often do they exercise in a week?\nDo they go outside?"},{"$f":"'Family Views'!E35","v":0}]
[]
[{"$f":"'Family Views'!C36","v":"Are you kept informed about your friend / family member by the hospital?"},{"$f":"'Family Views'!E36","v":0}]
[]
[{"$f":"'Family Views'!C37","v":"Do you get regular communication from the hospital about the care of your friend / family member?\nDo you have contact details for the hospital? \nCan you contact the hospital during the day, at the weekend or out of hours?\nDo you know the staff involved in the care and treatment?\nDo they contact you if there is a problem?\nDo you know if anyone is providing independent advocacy? "},{"$f":"'Family Views'!E37","v":0}]
[]
[{"$f":"'Family Views'!C38","v":"Are you supported to join meetings at the hospital for your friend / family member?"},{"$f":"'Family Views'!E38","v":0}]
[]
[{"$f":"'Family Views'!C39","v":"What is working well for your friend / family member in hospital?"},{"$f":"'Family Views'!E39","v":0}]
[]
[{"$f":"'Family Views'!C40","v":"Have there been any good changes for the person?\nHas the person learnt new ways of doing things? \nIs there anything else you would like to tell us that you think is good?"},{"$f":"'Family Views'!E40","v":0}]
[]
[{"$f":"'Family Views'!C41","v":"Have you been asked for your views on the future plans for your friend / family member?"},{"$f":"'Family Views'!E41","v":0}]
[]
[{"$f":"'Family Views'!C42","v":"When your friend / family member is discharged, would they be able to return to their previous home? \nWould this be possible if support or adaptations were provided?"},{"$f":"'Family Views'!E42","v":0}]
[]
[{"$f":"'Family Views'!C43","v":"Additional information?"},{"$f":"'Family Views'!E43","v":0}]
[]
[{"$f":"'Family Views'!B45","v":"Level of Confidence in care provision following conversations with family & friends"},{"$f":"'Family Views'!E45","v":"Please select from list"}]
[]
[{"$f":"'Family Views'!B47","v":"Ref:"}]
[]
[{"$f":"'Family Views'!B48","v":"FV1"},{"$f":"'Family Views'!C47","v":"Summary of Actions to be taken following discussion with the family & friends"}]
[null,{"$f":"'Family Views'!C48","v":0}]
[]
[null,{"$f":"'Family Views'!D47","v":"Target date for completion"}]
[null,{"$f":"'Family Views'!D48","v":"00:00:00"}]
[]
[null,{"$f":"'Family Views'!E47","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Family Views'!E48","v":0}]
[]
[null,{"$f":"'Family Views'!F47","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Family Views'!F48","v":"-"}]
[]
[{"$f":"'Family Views'!B49","v":"FV2"},{"$f":"B336","v":"Summary of Actions to be taken following discussion with the family & friends"}]
[null,{"$f":"'Family Views'!C49","v":0}]
[]
[null,{"$f":"B339","v":"Target date for completion"}]
[null,{"$f":"'Family Views'!D49","v":"00:00:00"}]
[]
[null,{"$f":"B342","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Family Views'!E49","v":0}]
[]
[null,{"$f":"B345","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Family Views'!F49","v":"-"}]
[]
[{"$f":"'Family Views'!B50","v":"FV3"},{"$f":"B348","v":"Summary of Actions to be taken following discussion with the family & friends"}]
[null,{"$f":"'Family Views'!C50","v":0}]
[]
[null,{"$f":"B351","v":"Target date for completion"}]
[null,{"$f":"'Family Views'!D50","v":"00:00:00"}]
[]
[null,{"$f":"B354","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Family Views'!E50","v":0}]
[]
[null,{"$f":"B357","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Family Views'!F50","v":"-"}]
[]
[{"$f":"'Family Views'!B51","v":"FV4"},{"$f":"B360","v":"Summary of Actions to be taken following discussion with the family & friends"}]
[null,{"$f":"'Family Views'!C51","v":0}]
[]
[null,{"$f":"B363","v":"Target date for completion"}]
[null,{"$f":"'Family Views'!D51","v":"00:00:00"}]
[]
[null,{"$f":"B366","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Family Views'!E51","v":0}]
[]
[null,{"$f":"B369","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Family Views'!F51","v":"-"}]
[]
[{"$f":"'Family Views'!B52","v":"FV5"},{"$f":"B372","v":"Summary of Actions to be taken following discussion with the family & friends"}]
[null,{"$f":"'Family Views'!C52","v":0}]
[]
[null,{"$f":"B375","v":"Target date for completion"}]
[null,{"$f":"'Family Views'!D52","v":"00:00:00"}]
[]
[null,{"$f":"B378","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Family Views'!E52","v":0}]
[]
[null,{"$f":"B381","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Family Views'!F52","v":"-"}]
[]
[{"$f":"'Family Views'!B53","v":"FV6"},{"$f":"B384","v":"Summary of Actions to be taken following discussion with the family & friends"}]
[null,{"$f":"'Family Views'!C53","v":0}]
[]
[null,{"$f":"B387","v":"Target date for completion"}]
[null,{"$f":"'Family Views'!D53","v":"00:00:00"}]
[]
[null,{"$f":"B390","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Family Views'!E53","v":0}]
[]
[null,{"$f":"B393","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Family Views'!F53","v":"-"}]
[]
["Advocate"]
[]
[{"$f":"Advocate!C7","v":"Advocate Information"},{"$f":"Advocate!E7","v":0}]
[]
[{"$f":"Advocate!C8","v":"How long have you known the person?"},{"$f":"Advocate!E8","v":0}]
[]
[{"$f":"Advocate!C9","v":"How long have you acted as their advocate?"},{"$f":"Advocate!E9","v":0}]
[]
[{"$f":"Advocate!C10","v":"What type of advocate are you?"},{"$f":"Advocate!E10","v":"Please select from list"}]
[]
[{"$f":"Advocate!C11","v":"What is the name of your advocacy organisation?"},{"$f":"Advocate!E11","v":0}]
[]
[{"$f":"Advocate!C12","v":"Are you commissioned by the local authority, the hospital, or someone else?"},{"$f":"Advocate!E12","v":0}]
[]
[{"$f":"Advocate!C13","v":"Communication with the Person and their Family"},{"$f":"Advocate!E13","v":0}]
[]
[{"$f":"Advocate!C14","v":"Do the hospital support you to visit and spend time with the person regularly?"},{"$f":"Advocate!E14","v":0}]
[]
[{"$f":"Advocate!C15","v":"Do the hospital support you to speak to the person by phone or at online meetings?"},{"$f":"Advocate!E15","v":0}]
[]
[{"$f":"Advocate!C16","v":"If the patient is non-verbal or non-communicative, how are you identifying their wants and needs?"},{"$f":"Advocate!E16","v":0}]
[]
[{"$f":"Advocate!C17","v":"Do you require any support to engage with the person?"},{"$f":"Advocate!E17","v":0}]
[]
[{"$f":"Advocate!C18","v":"Do you feel that you have developed a relationship with the person, sufficient to enable you to advocate for them?"},{"$f":"Advocate!E18","v":0}]
[]
[{"$f":"Advocate!C19","v":"What relationship do you have with the person's family and carers?\nDo you have regular contact with them?"},{"$f":"Advocate!E19","v":0}]
[]
[{"$f":"Advocate!C20","v":"Advocate's Views"},{"$f":"Advocate!E20","v":0}]
[]
[{"$f":"Advocate!C21","v":"What are your observations in respect of the person's:\n      •   Physical Health needs\n      •   \tMental Health needs (agitated? distressed?)\n      •   \tMedication  \n      •   \tQuality of Life \n            - relationships\n            - activities\n            - quality of their environment\n            - sensory needs\n            - aspirations for the future \n     •\t   Safety & Risk\n     •   \tEnvironment"},{"$f":"Advocate!E21","v":0}]
[]
[{"$f":"Advocate!C22","v":"Is anything missing from the views expressed by the person and/or their family?"},{"$f":"Advocate!E22","v":0}]
[]
[{"$f":"Advocate!C23","v":"Have you attended MDT meetings on behalf of the patient?  \nIf so, are you listened to, respected and made to feel welcome at the MDT meetings?"},{"$f":"Advocate!E23","v":0}]
[]
[{"$f":"Advocate!C24","v":"Are the person's rights being upheld?"},{"$f":"Advocate!E24","v":0}]
[]
[{"$f":"Advocate!C25","v":"What is your view on the person's current care and treatment plan? Do you feel able to support the person in the discharge planning process?"},{"$f":"Advocate!E25","v":0}]
[]
[{"$f":"Advocate!C26","v":"Do you feel the person is getting all the advocacy support they need? If not, what would help? "},{"$f":"Advocate!E26","v":0}]
[]
[{"$f":"Advocate!C27","v":"Additional information?"},{"$f":"Advocate!E27","v":0}]
[]
[{"$f":"Advocate!B29","v":"Level of Confidence in care provision following conversations with the advocate"},{"$f":"Advocate!E29","v":"Please select from list"}]
[]
[{"$f":"Advocate!B31","v":"Ref"}]
[]
[{"$f":"Advocate!B32","v":"AV1"},{"$f":"Advocate!C31","v":"Summary of Actions to be taken following discussion with the Advocate"}]
[null,{"$f":"Advocate!C32","v":0}]
[]
[null,{"$f":"Advocate!D31","v":"Target date for completion"}]
[null,{"$f":"Advocate!D32","v":"00:00:00"}]
[]
[null,{"$f":"Advocate!E31","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"Advocate!E32","v":0}]
[]
[null,{"$f":"Advocate!F31","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Advocate!F32","v":"-"}]
[]
[{"$f":"Advocate!B33","v":"AV2"},{"$f":"B456","v":"Summary of Actions to be taken following discussion with the Advocate"}]
[null,{"$f":"Advocate!C33","v":0}]
[]
[null,{"$f":"B459","v":"Target date for completion"}]
[null,{"$f":"Advocate!D33","v":"00:00:00"}]
[]
[null,{"$f":"B462","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"Advocate!E33","v":0}]
[]
[null,{"$f":"B465","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Advocate!F33","v":"-"}]
[]
[{"$f":"Advocate!B34","v":"AV3"},{"$f":"B468","v":"Summary of Actions to be taken following discussion with the Advocate"}]
[null,{"$f":"Advocate!C34","v":0}]
[]
[null,{"$f":"B471","v":"Target date for completion"}]
[null,{"$f":"Advocate!D34","v":"00:00:00"}]
[]
[null,{"$f":"B474","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"Advocate!E34","v":0}]
[]
[null,{"$f":"B477","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Advocate!F34","v":"-"}]
[]
[{"$f":"Advocate!B35","v":"AV4"},{"$f":"B480","v":"Summary of Actions to be taken following discussion with the Advocate"}]
[null,{"$f":"Advocate!C35","v":0}]
[]
[null,{"$f":"B483","v":"Target date for completion"}]
[null,{"$f":"Advocate!D35","v":"00:00:00"}]
[]
[null,{"$f":"B486","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"Advocate!E35","v":0}]
[]
[null,{"$f":"B489","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Advocate!F35","v":"-"}]
[]
[{"$f":"Advocate!B36","v":"AV5"},{"$f":"B492","v":"Summary of Actions to be taken following discussion with the Advocate"}]
[null,{"$f":"Advocate!C36","v":0}]
[]
[null,{"$f":"B495","v":"Target date for completion"}]
[null,{"$f":"Advocate!D36","v":"00:00:00"}]
[]
[null,{"$f":"B498","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"Advocate!E36","v":0}]
[]
[null,{"$f":"B501","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Advocate!F36","v":"-"}]
[]
[{"$f":"Advocate!B37","v":"AV6"},{"$f":"B504","v":"Summary of Actions to be taken following discussion with the Advocate"}]
[null,{"$f":"Advocate!C37","v":0}]
[]
[null,{"$f":"B507","v":"Target date for completion"}]
[null,{"$f":"Advocate!D37","v":"00:00:00"}]
[]
[null,{"$f":"B510","v":"Person responsible for action, Job Title and Employer"}]
[null,{"$f":"Advocate!E37","v":0}]
[]
[null,{"$f":"B513","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Advocate!F37","v":"-"}]
[]
["Physical Health"]
[]
[{"$f":"'Physical Health'!C7","v":"Admission Health Checks, Annual Health Check, Health Action Plan"},{"$f":"'Physical Health'!E7","v":0}]
[]
[{"$f":"'Physical Health'!C8","v":"Did the person have a full comprehensive health check on admission to include:\n - physical health assessment (blood test, ECG, blood pressure, weight / height / BMI calculation)\n - physical examination / physical health symptoms\n - any concerns with long term conditions ( CVD / COPD / Diabetes / Epilepsy)\n - lifestyle factors e.g. sleeping patterns, diet, smoking, exercise, sexual activity, drug and alcohol use"}]
[{"$f":"'Physical Health'!D8","v":"Please select from list"},{"$f":"'Physical Health'!E8","v":0}]
[]
[{"$f":"'Physical Health'!C9","v":"If any results were outside of the normal range, what action was taken?"}]
[{"$f":"'Physical Health'!D9","v":"Provide details:"},{"$f":"'Physical Health'!E9","v":0}]
[]
[{"$f":"'Physical Health'!C10","v":"When was the health check last reviewed? dd/mm/yyyy"}]
[{"$f":"'Physical Health'!D10","v":"Insert date:"},{"$f":"'Physical Health'!E10","v":0}]
[]
[{"$f":"'Physical Health'!C11","v":"Has the person had an annual health check within the last 12 months? "}]
[{"$f":"'Physical Health'!D11","v":"Please select from list"},{"$f":"'Physical Health'!E11","v":0}]
[]
[{"$f":"'Physical Health'!C12","v":"Does the person have a Health Action Plan?  "}]
[{"$f":"'Physical Health'!D12","v":"Please select from list"},{"$f":"'Physical Health'!E12","v":0}]
[]
[{"$f":"'Physical Health'!C13","v":"      - when was it last reviewed?"}]
[{"$f":"'Physical Health'!D13","v":"Insert date:"},{"$f":"'Physical Health'!E13","v":0}]
[]
[{"$f":"'Physical Health'!C14","v":"      - what does it say?"}]
[{"$f":"'Physical Health'!D14","v":"Provide details:"},{"$f":"'Physical Health'!E14","v":0}]
[]
[{"$f":"'Physical Health'!C15","v":"      - is it being delivered?"}]
[{"$f":"'Physical Health'!D15","v":"Please select from list"},{"$f":"'Physical Health'!E15","v":0}]
[]
[{"$f":"'Physical Health'!C16","v":"      - is it effective?"}]
[{"$f":"'Physical Health'!D16","v":"Please select from list"},{"$f":"'Physical Health'!E16","v":0}]
[]
[{"$f":"'Physical Health'!C17","v":"When did the person last see a dentist?\nIf this was not within the last 12 months - why not?"}]
[{"$f":"'Physical Health'!D17","v":"Provide details:"},{"$f":"'Physical Health'!E17","v":0}]
[]
[{"$f":"'Physical Health'!C18","v":"When did the person last see an optician? \nIf this was not within the last 2 years - why not?\nDo they have the right contact lenses or glasses?"}]
[{"$f":"'Physical Health'!D18","v":"Provide details:"},{"$f":"'Physical Health'!E18","v":0}]
[]
[{"$f":"'Physical Health'!C19","v":"Are there any concerns in relation to the person's hearing? "}]
[{"$f":"'Physical Health'!D19","v":"Please select from list"},{"$f":"'Physical Health'!E19","v":0}]
[]
[{"$f":"'Physical Health'!C20","v":"If so, when was their last hearing check?"}]
[{"$f":"'Physical Health'!D20","v":"Provide details:"},{"$f":"'Physical Health'!E20","v":0}]
[]
[{"$f":"'Physical Health'!C21","v":"Do they have the right hearing aids, if required?"}]
[{"$f":"'Physical Health'!D21","v":"Please select from list"},{"$f":"'Physical Health'!E21","v":0}]
[]
[{"$f":"'Physical Health'!C22","v":"If the person requires podiatry, does the person have regular visits from a podiatrist? "}]
[{"$f":"'Physical Health'!D22","v":"Please select from list"},{"$f":"'Physical Health'!E22","v":0}]
[]
[{"$f":"'Physical Health'!C23","v":"Does the hospital routinely monitor the following?\n      - fluids\n      - eating\n      - continence\n      - bowel movements\n      - oral health\n      - sleep"}]
[{"$f":"'Physical Health'!D23","v":"Please select from list"},{"$f":"'Physical Health'!E23","v":0}]
[]
[{"$f":"'Physical Health'!C24","v":"Is the frequency of monitoring appropriate?"}]
[{"$f":"'Physical Health'!D24","v":"Please select from list"},{"$f":"'Physical Health'!E24","v":0}]
[]
[{"$f":"'Physical Health'!C25","v":"Does the person have any physical health needs that have not been recognised, understood or addressed?"}]
[{"$f":"'Physical Health'!D25","v":"Please select from list"},{"$f":"'Physical Health'!E25","v":0}]
[]
[{"$f":"'Physical Health'!C26","v":"Weight"},{"$f":"'Physical Health'!E26","v":0}]
[]
[{"$f":"'Physical Health'!C27","v":"Is the person within a healthy weight range? "}]
[{"$f":"'Physical Health'!D27","v":"Please select from list"},{"$f":"'Physical Health'!E27","v":0}]
[]
[{"$f":"'Physical Health'!C28","v":"Have they gained or lost weight since being admitted to hospital?"}]
[{"$f":"'Physical Health'!D28","v":"Please select from list"},{"$f":"'Physical Health'!E28","v":0}]
[]
[{"$f":"'Physical Health'!C29","v":"What actions have been taken in response?"}]
[{"$f":"'Physical Health'!D29","v":"Provide details:"},{"$f":"'Physical Health'!E29","v":0}]
[]
[{"$f":"'Physical Health'!C30","v":"Mobility Issues"},{"$f":"'Physical Health'!E30","v":0}]
[]
[{"$f":"'Physical Health'!C31","v":"Does the person have any mobility issues?"}]
[{"$f":"'Physical Health'!D31","v":"Please select from list"},{"$f":"'Physical Health'!E31","v":0}]
[]
[{"$f":"'Physical Health'!C32","v":"Do they have the equipment required to meet their needs and are they appropriately used?"}]
[{"$f":"'Physical Health'!D32","v":"Please select from list"},{"$f":"'Physical Health'!E32","v":0}]
[]
[{"$f":"'Physical Health'!C33","v":"Does the person have access to professionals who can support their ability to mobilise and undertake activities of daily living if they require it, such as physiotherapists, occupational therapists, podiatrists"}]
[{"$f":"'Physical Health'!D33","v":"Please select from list"},{"$f":"'Physical Health'!E33","v":0}]
[]
[{"$f":"'Physical Health'!C34","v":"Does the person have a history of falls? "}]
[{"$f":"'Physical Health'!D34","v":"Please select from list"},{"$f":"'Physical Health'!E34","v":0}]
[]
[{"$f":"'Physical Health'!C35","v":"Reasonable Adjustments"},{"$f":"'Physical Health'!E35","v":0}]
[]
[{"$f":"'Physical Health'!C36","v":"Is there a recording of any reasonable adjustments to enable the person to access healthcare monitoring / screening / appointments?"}]
[{"$f":"'Physical Health'!D36","v":"Please select from list"},{"$f":"'Physical Health'!E36","v":0}]
[]
[{"$f":"'Physical Health'!C37","v":"Does the person have any physical health needs that have not been recognised, understood or addressed?"}]
[{"$f":"'Physical Health'!D37","v":"Please select from list"},{"$f":"'Physical Health'!E37","v":0}]
[]
[{"$f":"'Physical Health'!C38","v":"Pain"},{"$f":"'Physical Health'!E38","v":0}]
[]
[{"$f":"'Physical Health'!C39","v":"Is there any evidence that physical health difficulties and/or pain are contributory factors to the person's behaviour?"}]
[{"$f":"'Physical Health'!D39","v":"Please select from list"},{"$f":"'Physical Health'!E39","v":0}]
[]
[{"$f":"'Physical Health'!C40","v":"Is there clear guidance for staff to recognise what to do when the person is in pain? "}]
[{"$f":"'Physical Health'!D40","v":"Please select from list"},{"$f":"'Physical Health'!E40","v":0}]
[]
[{"$f":"'Physical Health'!C41","v":"Long Term Conditions e.g. Diabetes, Epilepsy, High Blood Pressure"},{"$f":"'Physical Health'!E41","v":0}]
[]
[{"$f":"'Physical Health'!C42","v":"Does the person have any long term conditions? "}]
[{"$f":"'Physical Health'!D42","v":"Please select from list"},{"$f":"'Physical Health'!E42","v":0}]
[]
[{"$f":"'Physical Health'!C43","v":"Are any long term conditions (e.g. high blood pressure) being managed effectively through lifestyle activity as well as medication?"}]
[{"$f":"'Physical Health'!D43","v":"Please select from list"},{"$f":"'Physical Health'!E43","v":0}]
[]
[{"$f":"'Physical Health'!C44","v":"Is there a clear care plan in place to support the management of these conditions including regular specialist reviews?"}]
[{"$f":"'Physical Health'!D44","v":"Please select from list"},{"$f":"'Physical Health'!E44","v":0}]
[]
[{"$f":"'Physical Health'!C45","v":"Is the care plan being delivered?  "}]
[{"$f":"'Physical Health'!D45","v":"Please select from list"},{"$f":"'Physical Health'!E45","v":0}]
[]
[{"$f":"'Physical Health'!C46","v":"Does the person have a diagnosis of epilepsy?"}]
[{"$f":"'Physical Health'!D46","v":"Please select from list"},{"$f":"'Physical Health'!E46","v":0}]
[]
[{"$f":"'Physical Health'!C47","v":" - has a SUDEP risk assessment been undertaken?"}]
[{"$f":"'Physical Health'!D47","v":"Please select from list"},{"$f":"'Physical Health'!E47","v":0}]
[]
[{"$f":"'Physical Health'!C48","v":" - have the results of the SUDEP risk assessment been acted upon?"}]
[{"$f":"'Physical Health'!D48","v":"Please select from list"},{"$f":"'Physical Health'!E48","v":0}]
[]
[{"$f":"'Physical Health'!C49","v":" - are they under the care of a neurologist?"}]
[{"$f":"'Physical Health'!D49","v":"Please select from list"},{"$f":"'Physical Health'!E49","v":0}]
[]
[{"$f":"'Physical Health'!C50","v":"Quality of Sleep"},{"$f":"'Physical Health'!E50","v":0}]
[]
[{"$f":"'Physical Health'!C51","v":"Has the person's sleep hygiene been assessed?"}]
[{"$f":"'Physical Health'!D51","v":"Please select from list"},{"$f":"'Physical Health'!E51","v":0}]
[]
[{"$f":"'Physical Health'!C52","v":"If required, is there a Care Plan to address their sleep needs?"}]
[{"$f":"'Physical Health'!D52","v":"Please select from list"},{"$f":"'Physical Health'!E52","v":0}]
[]
[{"$f":"'Physical Health'!C53","v":"Does the person have sleep aponea?  "}]
[{"$f":"'Physical Health'!D53","v":"Please select from list"},{"$f":"'Physical Health'!E53","v":0}]
[]
[{"$f":"'Physical Health'!C54","v":"If sleep apnoea has been diagnosed, do they have a CPAP or BiPAP machine?"}]
[{"$f":"'Physical Health'!D54","v":"Please select from list"},{"$f":"'Physical Health'!E54","v":0}]
[]
[{"$f":"'Physical Health'!C55","v":"Are they supported to use their machine each night? "}]
[{"$f":"'Physical Health'!D55","v":"Please select from list"},{"$f":"'Physical Health'!E55","v":0}]
[]
[{"$f":"'Physical Health'!C56","v":"Constipation"},{"$f":"'Physical Health'!E56","v":0}]
[]
[{"$f":"'Physical Health'!C57","v":"Has the person been assessed for constipation?"}]
[{"$f":"'Physical Health'!D57","v":"Please select from list"},{"$f":"'Physical Health'!E57","v":0}]
[]
[{"$f":"'Physical Health'!C58","v":"If required, is a plan in place to support regular bowel movement and to ensure constipation is effectively managed?"}]
[{"$f":"'Physical Health'!D58","v":"Please select from list"},{"$f":"'Physical Health'!E58","v":0}]
[]
[{"$f":"'Physical Health'!C59","v":"Dysphagia"},{"$f":"'Physical Health'!E59","v":0}]
[]
[{"$f":"'Physical Health'!C60","v":"Does the person have any difficulty swallowing food or drink?"}]
[{"$f":"'Physical Health'!D60","v":"Please select from list"},{"$f":"'Physical Health'!E60","v":0}]
[]
[{"$f":"'Physical Health'!C61","v":"If so, have they been assessed for dysphagia?  "}]
[{"$f":"'Physical Health'!D61","v":"Please select from list"},{"$f":"'Physical Health'!E61","v":0}]
[]
[{"$f":"'Physical Health'!C62","v":"Menstruation & Menopause"}]
[]
[{"$f":"'Physical Health'!C63","v":"Is the person being supported with menstruation and any connected symptoms?"}]
[{"$f":"'Physical Health'!D63","v":"Please select from list"},{"$f":"'Physical Health'!E63","v":0}]
[]
[{"$f":"'Physical Health'!C64","v":"Is the person displaying any menopausal symptoms? "}]
[{"$f":"'Physical Health'!D64","v":"Please select from list"},{"$f":"'Physical Health'!E64","v":0}]
[]
[{"$f":"'Physical Health'!C65","v":"If so, what treatment has been offered?"}]
[{"$f":"'Physical Health'!D65","v":"Provide details:"},{"$f":"'Physical Health'!E65","v":0}]
[]
[{"$f":"'Physical Health'!C66","v":"Vaccinations & Cancer Screening"},{"$f":"'Physical Health'!E66","v":0}]
[]
[{"$f":"'Physical Health'!C67","v":"Is the person up to date with immunisations including flu and covid-19 vaccines?"}]
[{"$f":"'Physical Health'!D67","v":"Please select from list"},{"$f":"'Physical Health'!E67","v":0}]
[]
[{"$f":"'Physical Health'!C68","v":"If no - what reasonable adjustments have been offerred to encourage vaccine uptake?"}]
[{"$f":"'Physical Health'!D68","v":"Provide details:"},{"$f":"'Physical Health'!E68","v":0}]
[]
[{"$f":"'Physical Health'!C69","v":"Has the person been able to access any cancer screening/other screening appointments that are due e.g cervical, breast, bowel, diabetic? "}]
[{"$f":"'Physical Health'!D69","v":"Please select from list"},{"$f":"'Physical Health'!E69","v":0}]
[]
[{"$f":"'Physical Health'!C70","v":"Does the person have any red flags for cancer? \neg. suspicious lumps bumps and moles, persistant cough, blood in stools, bloating etc."}]
[{"$f":"'Physical Health'!D70","v":"Please select from list"},{"$f":"'Physical Health'!E70","v":0}]
[]
[{"$f":"'Physical Health'!C71","v":"GP Access"},{"$f":"'Physical Health'!E71","v":0}]
[]
[{"$f":"'Physical Health'!C72","v":"How does the person access their GP?"}]
[{"$f":"'Physical Health'!D72","v":"Provide details:"},{"$f":"'Physical Health'!E72","v":0}]
[]
[{"$f":"'Physical Health'!C73","v":"Are they able to access an emergency GP appointment if required?"}]
[{"$f":"'Physical Health'!D73","v":"Please select from list"},{"$f":"'Physical Health'!E73","v":0}]
[]
[{"$f":"'Physical Health'!C74","v":"Are staff on the unit trained to recognise and respond to a deteriorating patient including identifying the soft signs of deterioration e.g. using deterioration tools such as RESTORE2/NEWS2"}]
[{"$f":"'Physical Health'!D74","v":"Please select from list"},{"$f":"'Physical Health'!E74","v":0}]
[]
[{"$f":"'Physical Health'!C75","v":"Health Promotion Activities"},{"$f":"'Physical Health'!E75","v":0}]
[]
[{"$f":"'Physical Health'!C76","v":"Does the person have access to targeted lifestyle advice and health promotion activities including:\n     • Smoking cessation advice\n     • Healthy eating and Hydration advice\n     • Physical exercise advice and opportunities to exercise\n     • Community and social opportunities"}]
[{"$f":"'Physical Health'!D76","v":"Please select from list"},{"$f":"'Physical Health'!E76","v":0}]
[]
[{"$f":"'Physical Health'!C77","v":"Recent Hospital Admissions"},{"$f":"'Physical Health'!E77","v":0}]
[]
[{"$f":"'Physical Health'!C78","v":"Has the person had any recent acute hospital admissions?  "}]
[{"$f":"'Physical Health'!D78","v":"Please select from list"},{"$f":"'Physical Health'!E78","v":0}]
[]
[{"$f":"'Physical Health'!C79","v":"  • what was the cause of those admissions? "}]
[{"$f":"'Physical Health'!D79","v":"Provide details:"},{"$f":"'Physical Health'!E79","v":0}]
[]
[{"$f":"'Physical Health'!C80","v":"  • how long were they in hospital? "}]
[{"$f":"'Physical Health'!D80","v":"Provide details:"},{"$f":"'Physical Health'!E80","v":0}]
[]
[{"$f":"'Physical Health'!C81","v":"  • have there been any follow ups?"}]
[{"$f":"'Physical Health'!D81","v":"Please select from list"},{"$f":"'Physical Health'!E81","v":0}]
[]
[{"$f":"'Physical Health'!C82","v":"DNACPR"},{"$f":"'Physical Health'!E82","v":0}]
[]
[{"$f":"'Physical Health'!C83","v":"Is there a DNACPR in place?"}]
[{"$f":"'Physical Health'!D83","v":"Please select from list"},{"$f":"'Physical Health'!E83","v":0}]
[]
[{"$f":"'Physical Health'!C84","v":"If so, it is appropriate and has it been discussed with the person and family?"}]
[{"$f":"'Physical Health'!D84","v":"Please select from list"},{"$f":"'Physical Health'!E84","v":0}]
[]
[{"$f":"'Physical Health'!C85","v":"Are there any other matters relating to the person's physical health that need to be brought to the attention of the Panel?"},{"$f":"'Physical Health'!E85","v":0}]
[]
[{"$f":"'Physical Health'!C86","v":"Additional information?"},{"$f":"'Physical Health'!E86","v":0}]
[]
[{"$f":"'Physical Health'!B88","v":"Level of Confidence in care provision following review of Physical Health"},{"$f":"'Physical Health'!E88","v":"Please select from list"}]
[]
[{"$f":"'Physical Health'!B90","v":"Ref"}]
[]
[{"$f":"'Physical Health'!B91","v":"PH1"},{"$f":"'Physical Health'!C90","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Physical Health'!C91","v":0}]
[]
[null,{"$f":"'Physical Health'!D90","v":"Target date for completion"}]
[null,{"$f":"'Physical Health'!D91","v":"00:00:00"}]
[]
[null,{"$f":"'Physical Health'!E90","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Physical Health'!E91","v":0}]
[]
[null,{"$f":"'Physical Health'!F90","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Physical Health'!F91","v":"-"}]
[]
[{"$f":"'Physical Health'!B92","v":"PH2"},{"$f":"B757","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Physical Health'!C92","v":0}]
[]
[null,{"$f":"B760","v":"Target date for completion"}]
[null,{"$f":"'Physical Health'!D92","v":"00:00:00"}]
[]
[null,{"$f":"B763","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Physical Health'!E92","v":0}]
[]
[null,{"$f":"B766","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Physical Health'!F92","v":"-"}]
[]
[{"$f":"'Physical Health'!B93","v":"PH3"},{"$f":"B769","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Physical Health'!C93","v":0}]
[]
[null,{"$f":"B772","v":"Target date for completion"}]
[null,{"$f":"'Physical Health'!D93","v":"00:00:00"}]
[]
[null,{"$f":"B775","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Physical Health'!E93","v":0}]
[]
[null,{"$f":"B778","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Physical Health'!F93","v":"-"}]
[]
[{"$f":"'Physical Health'!B94","v":"PH4"},{"$f":"B781","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Physical Health'!C91","v":0}]
[]
[null,{"$f":"B784","v":"Target date for completion"}]
[null,{"$f":"'Physical Health'!D94","v":"00:00:00"}]
[]
[null,{"$f":"B787","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Physical Health'!E94","v":0}]
[]
[null,{"$f":"B790","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Physical Health'!F94","v":"-"}]
[]
[{"$f":"'Physical Health'!B95","v":"PH5"},{"$f":"B793","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Physical Health'!C95","v":0}]
[]
[null,{"$f":"B796","v":"Target date for completion"}]
[null,{"$f":"'Physical Health'!D95","v":"00:00:00"}]
[]
[null,{"$f":"B799","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Physical Health'!E95","v":0}]
[]
[null,{"$f":"B802","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Physical Health'!F95","v":"-"}]
[]
[{"$f":"'Physical Health'!B96","v":"PH6"},{"$f":"B805","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Physical Health'!C96","v":0}]
[]
[null,{"$f":"B808","v":"Target date for completion"}]
[null,{"$f":"'Physical Health'!D96","v":"00:00:00"}]
[]
[null,{"$f":"B811","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Physical Health'!E96","v":0}]
[]
[null,{"$f":"B814","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Physical Health'!F96","v":"-"}]
[]
["MHLDA"]
[]
[{"$f":"MHLDA!C7","v":"Diagnosis of Learning Disability, Autism, Mental Health conditions"},{"$f":"MHLDA!E7","v":0}]
[]
[{"$f":"MHLDA!C8","v":"Does the person have a diagnosis of a learning disability?"}]
[{"$f":"MHLDA!D8","v":"Please select from list"},{"$f":"MHLDA!E8","v":0}]
[]
[{"$f":"MHLDA!C9","v":"Does the person have a diagnosis of autism?"}]
[{"$f":"MHLDA!D9","v":"Please select from list"},{"$f":"MHLDA!E9","v":0}]
[]
[{"$f":"MHLDA!C10","v":"Does the person display any distress behaviours that could be considered to be challenging?"}]
[{"$f":"MHLDA!D10","v":"Please select from list"},{"$f":"MHLDA!E10","v":0}]
[]
[{"$f":"MHLDA!C11","v":"Does the person have a documented clinical formulation?"}]
[{"$f":"MHLDA!D11","v":"Please select from list"},{"$f":"MHLDA!E11","v":0}]
[]
[{"$f":"MHLDA!C12","v":"Does the person have an additional mental health diagnosis?"}]
[{"$f":"MHLDA!D12","v":"Please select from list"},{"$f":"MHLDA!E12","v":0}]
[]
[{"$f":"MHLDA!C13","v":"Are there any concerns about the person's capacity in relation to:\n      - managing their physical health conditions?"}]
[{"$f":"MHLDA!D13","v":"Please select from list"},{"$f":"MHLDA!E13","v":0}]
[]
[{"$f":"MHLDA!C14","v":"      - consenting to medication?"}]
[{"$f":"MHLDA!D14","v":"Please select from list"},{"$f":"MHLDA!E14","v":0}]
[]
[{"$f":"MHLDA!C15","v":"      - managing their own finances?"}]
[{"$f":"MHLDA!D15","v":"Please select from list"},{"$f":"MHLDA!E15","v":0}]
[]
[{"$f":"MHLDA!C16","v":"      - consenting to their treatment plan?"}]
[{"$f":"MHLDA!D16","v":"Please select from list"},{"$f":"MHLDA!E16","v":0}]
[]
[{"$f":"MHLDA!C17","v":"      - challenging their detention?"}]
[{"$f":"MHLDA!D17","v":"Please select from list"},{"$f":"MHLDA!E17","v":0}]
[]
[{"$f":"MHLDA!C18","v":"Does their capacity for any of the above need to be reviewed?"}]
[{"$f":"MHLDA!D18","v":"Please select from list"},{"$f":"MHLDA!E18","v":0}]
[]
[{"$f":"MHLDA!C19","v":"Is there a good understanding of how any mental health diagnosis interacts with their learning disability and/or autism?"}]
[{"$f":"MHLDA!D19","v":"Please select from list"},{"$f":"MHLDA!E19","v":0}]
[]
[{"$f":"MHLDA!C20","v":"Treatment Plan Review"},{"$f":"MHLDA!E20","v":0}]
[]
[{"$f":"MHLDA!C21","v":"Is there a clear MDT treatment plan linked to a formulation/diagnosis?"}]
[{"$f":"MHLDA!D21","v":"Please select from list"},{"$f":"MHLDA!E21","v":0}]
[]
[{"$f":"MHLDA!C22","v":"Is the person having psychological support or interventions, such as talking therapy, counselling, psychology, etc.?"}]
[{"$f":"MHLDA!D22","v":"Please select from list"},{"$f":"MHLDA!E22","v":0}]
[]
[{"$f":"MHLDA!C23","v":"What psychological interventions is the person receiving?"}]
[{"$f":"MHLDA!D23","v":"    Provide details:"},{"$f":"MHLDA!E23","v":0}]
[]
[{"$f":"MHLDA!C24","v":"Are any psychological intervention in line with NICE guidance?"}]
[{"$f":"MHLDA!D24","v":"Please select from list"},{"$f":"MHLDA!E24","v":0}]
[]
[{"$f":"MHLDA!C25","v":"Can the treatment plan only be managed in a hospital setting?"}]
[{"$f":"MHLDA!D25","v":"Please select from list"},{"$f":"MHLDA!E25","v":0}]
[]
[{"$f":"MHLDA!C26","v":"What are the current outcome measures?"}]
[{"$f":"MHLDA!D26","v":"    Provide details:"},{"$f":"MHLDA!E26","v":0}]
[]
[{"$f":"MHLDA!C27","v":"Do they provide evidence of efficacy for the current treatment?"}]
[{"$f":"MHLDA!D27","v":"Please select from list"},{"$f":"MHLDA!E27","v":0}]
[]
[{"$f":"MHLDA!C28","v":"What are the timescales for treatment delivery?"}]
[{"$f":"MHLDA!D28","v":"    Provide details:"},{"$f":"MHLDA!E28","v":0}]
[]
[{"$f":"MHLDA!C29","v":"Assessment of Needs and Reasonable Adjustments"},{"$f":"MHLDA!E29","v":0}]
[]
[{"$f":"MHLDA!C30","v":"Has the person had a communication assessment?  "}]
[{"$f":"MHLDA!D30","v":"Please select from list"},{"$f":"MHLDA!E30","v":0}]
[]
[{"$f":"MHLDA!C31","v":"   - Are their identified needs being met?  "}]
[{"$f":"MHLDA!D31","v":"Please select from list"},{"$f":"MHLDA!E31","v":0}]
[]
[{"$f":"MHLDA!C32","v":"   - Is an assessment required?"}]
[{"$f":"MHLDA!D32","v":"Please select from list"},{"$f":"MHLDA!E32","v":0}]
[]
[{"$f":"MHLDA!C33","v":"Has the person had a sensory assessment?  "}]
[{"$f":"MHLDA!D33","v":"Please select from list"},{"$f":"MHLDA!E33","v":0}]
[]
[{"$f":"MHLDA!C34","v":"   - Are their identified needs being met?  "}]
[{"$f":"MHLDA!D34","v":"Please select from list"},{"$f":"MHLDA!E34","v":0}]
[]
[{"$f":"MHLDA!C35","v":"   - Is an assessment required?"}]
[{"$f":"MHLDA!D35","v":"Please select from list"},{"$f":"MHLDA!E35","v":0}]
[]
[{"$f":"MHLDA!C36","v":"Has the person had a functional skills assessment?"}]
[{"$f":"MHLDA!D36","v":"Please select from list"},{"$f":"MHLDA!E36","v":0}]
[]
[{"$f":"MHLDA!C37","v":"   - Are their identified needs being met?"}]
[{"$f":"MHLDA!D37","v":"Please select from list"},{"$f":"MHLDA!E37","v":0}]
[]
[{"$f":"MHLDA!C38","v":"   - Is an assessment required?"}]
[{"$f":"MHLDA!D38","v":"Please select from list"},{"$f":"MHLDA!E38","v":0}]
[]
[{"$f":"MHLDA!C39","v":"Are any reasonable adjustments required to meet the person's needs embedded in the care plan? "}]
[{"$f":"MHLDA!D39","v":"Please select from list"},{"$f":"MHLDA!E39","v":0}]
[]
[{"$f":"MHLDA!C40","v":"Mental Health Act / Mental Capacity Act Status"},{"$f":"MHLDA!E40","v":0}]
[]
[{"$f":"MHLDA!C41","v":"Is there a clear rationale for the use of the Mental Health Act and/or Mental Capacity Act (e.g. Liberty Protection Safeguards)?"},{"$f":"MHLDA!E41","v":0}]
[{"$f":"MHLDA!D41","v":"Please select from list"}]
[]
[{"$f":"MHLDA!C42","v":"Is this evidenced in the paperwork provided by the inpatient clinical team?"}]
[{"$f":"MHLDA!D42","v":"Please select from list"},{"$f":"MHLDA!E42","v":0}]
[]
[{"$f":"MHLDA!C43","v":"Is this person detained under the Mental Health Act?"}]
[{"$f":"MHLDA!D43","v":"Please select from list"},{"$f":"MHLDA!E43","v":0}]
[]
[{"$f":"MHLDA!C44","v":"When did the person last have section 17 leave?"}]
[{"$f":"MHLDA!D44","v":"    Insert date:"},{"$f":"MHLDA!E44","v":0}]
[]
[{"$f":"MHLDA!C45","v":"When are they next expected to have section 17 leave?"}]
[{"$f":"MHLDA!D45","v":"    Insert date:"},{"$f":"MHLDA!E45","v":0}]
[]
[{"$f":"MHLDA!C46","v":"If there has been no section 17 leave, why not?"}]
[{"$f":"MHLDA!D46","v":"    Provide details:"},{"$f":"MHLDA!E46","v":0}]
[]
[{"$f":"MHLDA!C47","v":"First Tier Mental Health Tribunal"},{"$f":"MHLDA!E47","v":0}]
[]
[{"$f":"MHLDA!C48","v":"Has the person requested a First Tier Mental Health Tribunal?"}]
[{"$f":"MHLDA!D48","v":"Please select from list"},{"$f":"MHLDA!E48","v":0}]
[]
[{"$f":"MHLDA!C49","v":"When was the last Tribunal?"}]
[{"$f":"MHLDA!D49","v":"    Insert date:"},{"$f":"MHLDA!E49","v":0}]
[]
[{"$f":"MHLDA!C50","v":"When was the last Managers Hearing?"}]
[{"$f":"MHLDA!D50","v":"    Insert date:"},{"$f":"MHLDA!E50","v":0}]
[]
[{"$f":"MHLDA!C51","v":"If this has not happened then why not?"}]
[{"$f":"MHLDA!D51","v":"    Provide details:"},{"$f":"MHLDA!E51","v":0}]
[]
[{"$f":"MHLDA!C52","v":"Have they had access to a solicitor for advice re: Tribunal, if not why?"}]
[{"$f":"MHLDA!D52","v":"Please select from list"},{"$f":"MHLDA!E52","v":0}]
[]
[{"$f":"MHLDA!C53","v":"When was the last time they were seen by them?"}]
[{"$f":"MHLDA!D53","v":"    Insert date:"},{"$f":"MHLDA!E53","v":0}]
[]
[{"$f":"MHLDA!C54","v":"Additional information?"},{"$f":"MHLDA!E54","v":0}]
[]
[{"$f":"MHLDA!B56","v":"Level of Confidence in care provision following review of Mental Health"},{"$f":"MHLDA!E56","v":"Please select from list"}]
[]
[{"$f":"MHLDA!B58","v":"Ref"}]
[]
[{"$f":"MHLDA!B59","v":"MH1"},{"$f":"MHLDA!C58","v":"Summary of Actions to be taken"}]
[null,{"$f":"MHLDA!C59","v":0}]
[]
[null,{"$f":"MHLDA!D58","v":"Target date for completion"}]
[null,{"$f":"MHLDA!D59","v":"00:00:00"}]
[]
[null,{"$f":"MHLDA!E58","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"MHLDA!E59","v":0}]
[]
[null,{"$f":"MHLDA!F58","v":"If Urgent select \"Yes\""}]
[null,{"$f":"MHLDA!F59","v":"-"}]
[]
[{"$f":"MHLDA!B60","v":"MH2"},{"$f":"B973","v":"Summary of Actions to be taken"}]
[null,{"$f":"MHLDA!C60","v":0}]
[]
[null,{"$f":"B976","v":"Target date for completion"}]
[null,{"$f":"MHLDA!D60","v":"00:00:00"}]
[]
[null,{"$f":"B979","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"MHLDA!E60","v":0}]
[]
[null,{"$f":"B982","v":"If Urgent select \"Yes\""}]
[null,{"$f":"MHLDA!F60","v":"-"}]
[]
[{"$f":"MHLDA!B61","v":"MH3"},{"$f":"B985","v":"Summary of Actions to be taken"}]
[null,{"$f":"MHLDA!C61","v":0}]
[]
[null,{"$f":"B988","v":"Target date for completion"}]
[null,{"$f":"MHLDA!D61","v":"00:00:00"}]
[]
[null,{"$f":"B991","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"MHLDA!E61","v":0}]
[]
[null,{"$f":"B994","v":"If Urgent select \"Yes\""}]
[null,{"$f":"MHLDA!F61","v":"-"}]
[]
[{"$f":"MHLDA!B62","v":"MH4"},{"$f":"B997","v":"Summary of Actions to be taken"}]
[null,{"$f":"MHLDA!C62","v":0}]
[]
[null,{"$f":"B1000","v":"Target date for completion"}]
[null,{"$f":"MHLDA!D62","v":"00:00:00"}]
[]
[null,{"$f":"B1003","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"MHLDA!E62","v":0}]
[]
[null,{"$f":"B1006","v":"If Urgent select \"Yes\""}]
[null,{"$f":"MHLDA!F62","v":"-"}]
[]
[{"$f":"MHLDA!B63","v":"MH5"},{"$f":"B1009","v":"Summary of Actions to be taken"}]
[null,{"$f":"MHLDA!C63","v":0}]
[]
[null,{"$f":"B1012","v":"Target date for completion"}]
[null,{"$f":"MHLDA!D63","v":"00:00:00"}]
[]
[null,{"$f":"B1015","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"MHLDA!E63","v":0}]
[]
[null,{"$f":"B1018","v":"If Urgent select \"Yes\""}]
[null,{"$f":"MHLDA!F63","v":"-"}]
[]
[{"$f":"MHLDA!B64","v":"MH6"},{"$f":"B1021","v":"Summary of Actions to be taken"}]
[null,{"$f":"MHLDA!C64","v":0}]
[]
[null,{"$f":"B1024","v":"Target date for completion"}]
[null,{"$f":"MHLDA!D64","v":"00:00:00"}]
[]
[null,{"$f":"B1027","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"MHLDA!E64","v":0}]
[]
[null,{"$f":"B1030","v":"If Urgent select \"Yes\""}]
[null,{"$f":"MHLDA!F64","v":"-"}]
[]
["Medication"]
[]
[{"$f":"Medication!C7","v":"Current Prescribed Medication"},{"$f":"Medication!E7","v":0}]
[]
[{"$f":"Medication!C8","v":"List all prescribed medication including any PRN medication, stating what they are for, their planned outcomes and measurements, whether there is documented indication for each including a mental health diagnosis or target set of behaviour thought to be challenging"}]
[{"$f":"Medication!D8","v":"    Provide details:"},{"$f":"Medication!E8","v":0}]
[]
[{"$f":"Medication!C9","v":"Monitoring of Medication"},{"$f":"Medication!E9","v":0}]
[]
[{"$f":"Medication!C10","v":"Is there a diagnosis / rationale / indication for medication with clear timescales and plans for monitoring, review and discontinuation?"}]
[{"$f":"Medication!D10","v":"Please select from list"},{"$f":"Medication!E10","v":0}]
[]
[{"$f":"Medication!C11","v":"Is there documented evidence of appropriate baseline and ongoing medication monitoring?"}]
[{"$f":"Medication!D11","v":"Please select from list"},{"$f":"Medication!E11","v":0}]
[]
[{"$f":"Medication!C12","v":"Are there any medication issues that require the person to remain in hospital?  If yes, provide details"}]
[{"$f":"Medication!D12","v":"Please select from list"},{"$f":"Medication!E12","v":0}]
[]
[{"$f":"Medication!C13","v":"Consent to Medication"},{"$f":"Medication!E13","v":0}]
[]
[{"$f":"Medication!C14","v":"Are there any capacity issues in relation to making decisions about medication? e.g. T2, SOAD & T3, "}]
[{"$f":"Medication!D14","v":"Please select from list"},{"$f":"Medication!E14","v":0}]
[]
[{"$f":"Medication!C15","v":"Is there general agreement of the MDT, the family (and if possible the person) that all the medication is necessary? "}]
[{"$f":"Medication!D15","v":"Please select from list"},{"$f":"Medication!E15","v":0}]
[]
[{"$f":"Medication!C16","v":"Medication Reviews"},{"$f":"Medication!E16","v":0}]
[]
[{"$f":"Medication!C17","v":"When did the person last have a Medication Review?\nWho undertook the review?\nWhat were the recommendations?"}]
[{"$f":"Medication!D17","v":"    Provide details:"},{"$f":"Medication!E17","v":0}]
[]
[{"$f":"Medication!C18","v":"Are all medications within therapeutic ranges (NICE, BNF)?\nIf not, what are the plans to reduce?"}]
[{"$f":"Medication!D18","v":"Please select from list"},{"$f":"Medication!E18","v":0}]
[]
[{"$f":"Medication!C19","v":"Is there evidence that the medicines are effective and need to continue in line with the principles of STOMP STAMP?"}]
[{"$f":"Medication!D19","v":"Please select from list"},{"$f":"Medication!E19","v":0}]
[]
[{"$f":"Medication!C20","v":"Are any of the medications prescribed off label?  If so, why?"}]
[{"$f":"Medication!D20","v":"Please select from list"},{"$f":"Medication!E20","v":0}]
[]
[{"$f":"Medication!C21","v":"Side Effects"},{"$f":"Medication!E21","v":0}]
[]
[{"$f":"Medication!C22","v":"Is the person monitored for side-effects of medication in particular psychotropic medications  e.g. weight gain, diabetes, blood pressure, movement disorders?"}]
[{"$f":"Medication!D22","v":"Please select from list"},{"$f":"Medication!E22","v":0}]
[]
[{"$f":"Medication!C23","v":"If the person is a female of child-bearing age, are they prescribed valporate?"}]
[{"$f":"Medication!D23","v":"Please select from list"},{"$f":"Medication!E23","v":0}]
[]
[{"$f":"Medication!C24","v":"Is there consideration for enrolment in the pregnancy prevention programme?"}]
[{"$f":"Medication!D24","v":"Please select from list"},{"$f":"Medication!E24","v":0}]
[]
[{"$f":"Medication!C25","v":"Psychotropic Medication"},{"$f":"Medication!E25","v":0}]
[]
[{"$f":"Medication!C26","v":"Is there a clear rationale for the use of psychotropic medication?"}]
[{"$f":"Medication!D26","v":"Please select from list"},{"$f":"Medication!E26","v":0}]
[]
[{"$f":"Medication!C27","v":"Has the medication been reviewed after 6 weeks if not effective?"}]
[{"$f":"Medication!D27","v":"Please select from list"},{"$f":"Medication!E27","v":0}]
[]
[{"$f":"Medication!C28","v":"Is there a written discontinuation/reduction plan to highlight how medication can be reduced and stopped when no longer needed?"}]
[{"$f":"Medication!D28","v":"Please select from list"},{"$f":"Medication!E28","v":0}]
[]
[{"$f":"Medication!C29","v":"PRN Medication"},{"$f":"Medication!E29","v":0}]
[]
[{"$f":"Medication!C30","v":"Do you have concerns regarding the frequency/quantity of PRN medication administered?  "}]
[{"$f":"Medication!D30","v":"Please select from list"},{"$f":"Medication!E30","v":0}]
[]
[{"$f":"Medication!C31","v":"Provide information regarding use over the last few weeks / months and consider whether there are regular or irregular patterns to it being given?"}]
[{"$f":"Medication!D31","v":"    Provide details:"},{"$f":"Medication!E31","v":0}]
[]
[{"$f":"Medication!C32","v":"Do you have a PRN protocol clearly describing indication for use with monitoring requirements, evidence of appropriate use and timescales for use?"}]
[{"$f":"Medication!D32","v":"Please select from list"},{"$f":"Medication!E32","v":0}]
[]
[{"$f":"Medication!C33","v":"Additional information?"},{"$f":"Medication!E33","v":0}]
[]
[{"$f":"Medication!B35","v":"Level of Confidence in care provision following review of Medication"},{"$f":"Medication!E35","v":"Please select from list"}]
[]
[{"$f":"Medication!B37","v":"Ref"}]
[]
[{"$f":"Medication!B38","v":"M1"},{"$f":"Medication!C37","v":"Summary of Actions to be taken"}]
[null,{"$f":"Medication!C38","v":0}]
[]
[null,{"$f":"Medication!D37","v":"Target date for completion"}]
[null,{"$f":"Medication!D38","v":"00:00:00"}]
[]
[null,{"$f":"Medication!E37","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"Medication!E38","v":0}]
[]
[null,{"$f":"Medication!F37","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Medication!F38","v":"-"}]
[]
[{"$f":"Medication!B39","v":"M2"},{"$f":"B1124","v":"Summary of Actions to be taken"}]
[null,{"$f":"Medication!C39","v":0}]
[]
[null,{"$f":"B1127","v":"Target date for completion"}]
[null,{"$f":"Medication!D39","v":"00:00:00"}]
[]
[null,{"$f":"B1130","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"Medication!E39","v":0}]
[]
[null,{"$f":"B1133","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Medication!F39","v":"-"}]
[]
[{"$f":"Medication!B40","v":"M3"},{"$f":"B1136","v":"Summary of Actions to be taken"}]
[null,{"$f":"Medication!C40","v":0}]
[]
[null,{"$f":"B1139","v":"Target date for completion"}]
[null,{"$f":"Medication!D40","v":"00:00:00"}]
[]
[null,{"$f":"B1142","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"Medication!E40","v":0}]
[]
[null,{"$f":"B1145","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Medication!F40","v":"-"}]
[]
[{"$f":"Medication!B41","v":"M4"},{"$f":"B1148","v":"Summary of Actions to be taken"}]
[null,{"$f":"Medication!C41","v":0}]
[]
[null,{"$f":"B1151","v":"Target date for completion"}]
[null,{"$f":"Medication!D41","v":"00:00:00"}]
[]
[null,{"$f":"B1154","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"Medication!E41","v":0}]
[]
[null,{"$f":"B1157","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Medication!F41","v":"-"}]
[]
[{"$f":"Medication!B42","v":"M5"},{"$f":"B1160","v":"Summary of Actions to be taken"}]
[null,{"$f":"Medication!C42","v":0}]
[]
[null,{"$f":"B1163","v":"Target date for completion"}]
[null,{"$f":"Medication!D42","v":"00:00:00"}]
[]
[null,{"$f":"B1166","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"Medication!E42","v":0}]
[]
[null,{"$f":"B1169","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Medication!F42","v":"-"}]
[]
[{"$f":"Medication!B43","v":"M6"},{"$f":"B1172","v":"Summary of Actions to be taken"}]
[null,{"$f":"Medication!C43","v":0}]
[]
[null,{"$f":"B1175","v":"Target date for completion"}]
[null,{"$f":"Medication!D43","v":"00:00:00"}]
[]
[null,{"$f":"B1178","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"Medication!E43","v":0}]
[]
[null,{"$f":"B1181","v":"If Urgent select \"Yes\""}]
[null,{"$f":"Medication!F43","v":"-"}]
[]
["Quality of Life"]
[]
[{"$f":"'Quality of Life'!C7","v":"Relationships and Engagment with Family, Friends and Others"},{"$f":"'Quality of Life'!E7","v":0}]
[]
[{"$f":"'Quality of Life'!C8","v":"Does the person have good relationships with members of their family?"}]
[{"$f":"'Quality of Life'!D8","v":"Please select from list"},{"$f":"'Quality of Life'!E8","v":0}]
[]
[{"$f":"'Quality of Life'!C9","v":"Does the person have friends who stay in touch with them?"}]
[{"$f":"'Quality of Life'!D9","v":"Please select from list"},{"$f":"'Quality of Life'!E9","v":0}]
[]
[{"$f":"'Quality of Life'!C10","v":"Is the person being supported to maintain contact with their family and friends?"}]
[{"$f":"'Quality of Life'!D10","v":"Please select from list"},{"$f":"'Quality of Life'!E10","v":0}]
[]
[{"$f":"'Quality of Life'!C11","v":"Life Plan"},{"$f":"'Quality of Life'!E11","v":0}]
[]
[{"$f":"'Quality of Life'!C12","v":"Does the person have a Life plan?"}]
[{"$f":"'Quality of Life'!D12","v":"Please select from list"},{"$f":"'Quality of Life'!E12","v":0}]
[]
[{"$f":"'Quality of Life'!C13","v":"Is the Life plan reviewed regularly?"}]
[{"$f":"'Quality of Life'!D13","v":"Please select from list"},{"$f":"'Quality of Life'!E13","v":0}]
[]
[{"$f":"'Quality of Life'!C14","v":"Participating in Future Planning and Making Decisions"},{"$f":"'Quality of Life'!E14","v":0}]
[]
[{"$f":"'Quality of Life'!C15","v":"To what extent is the person involved in making decisions and plans in respect of their:\n- School / Employment\n- Money\n- Health & Body\n- How to spend their free time\n- Personal Care\n- Socialising"}]
[{"$f":"'Quality of Life'!D15","v":"Insert details:"},{"$f":"'Quality of Life'!E15","v":0}]
[]
[{"$f":"'Quality of Life'!C16","v":"Is there evidence that the person is involved in the development of their care plan and behaviour support plan?"}]
[{"$f":"'Quality of Life'!D16","v":"Please select from list"},{"$f":"'Quality of Life'!E16","v":0}]
[]
[{"$f":"'Quality of Life'!C17","v":"Is the person able to make meal choices or have opportunities to prepare their own food?"}]
[{"$f":"'Quality of Life'!D17","v":"Please select from list"},{"$f":"'Quality of Life'!E17","v":0}]
[]
[{"$f":"'Quality of Life'!C18","v":"Is the person able to choose what they wear?"}]
[{"$f":"'Quality of Life'!D18","v":"Please select from list"},{"$f":"'Quality of Life'!E18","v":0}]
[]
[{"$f":"'Quality of Life'!C19","v":"Training, Education and Employment"},{"$f":"'Quality of Life'!E19","v":0}]
[]
[{"$f":"'Quality of Life'!C20","v":"If the person is under the age of 25, do they have an Education Health and Care Plan?  If not, do they need one?"}]
[{"$f":"'Quality of Life'!D20","v":"Please select from list"},{"$f":"'Quality of Life'!E20","v":0}]
[]
[{"$f":"'Quality of Life'!C21","v":"Has the person got access to training and education opportunities? "}]
[{"$f":"'Quality of Life'!D21","v":"Please select from list"},{"$f":"'Quality of Life'!E21","v":0}]
[]
[{"$f":"'Quality of Life'!C22","v":"Is the person offered the opportunity to learn new skills and take up new activities? "}]
[{"$f":"'Quality of Life'!D22","v":"Please select from list"},{"$f":"'Quality of Life'!E22","v":0}]
[]
[{"$f":"'Quality of Life'!C23","v":"Activities, Interests and Hobbies"},{"$f":"'Quality of Life'!E23","v":0}]
[]
[{"$f":"'Quality of Life'!C24","v":"Does the person have a choice about how they spend their time and are they able to do things they enjoy?"}]
[{"$f":"'Quality of Life'!D24","v":"Please select from list"},{"$f":"'Quality of Life'!E24","v":0}]
[]
[{"$f":"'Quality of Life'!C25","v":"Is the person supported to maintain the interests, skills and activities they pursued prior to being admitted to hospital?"}]
[{"$f":"'Quality of Life'!D25","v":"Please select from list"},{"$f":"'Quality of Life'!E25","v":0}]
[]
[{"$f":"'Quality of Life'!C26","v":"Does the person have access to fresh air?\nAre they being supported to get fresh air and how often?"}]
[{"$f":"'Quality of Life'!D26","v":"Please select from list"},{"$f":"'Quality of Life'!E26","v":0}]
[]
[{"$f":"'Quality of Life'!C27","v":"Valuing the Person's Culture, Religion and Individuality"},{"$f":"'Quality of Life'!E27","v":0}]
[]
[{"$f":"'Quality of Life'!C28","v":"What is being done to support the person to maintain their identity?"}]
[{"$f":"'Quality of Life'!D28","v":"Insert details:"},{"$f":"'Quality of Life'!E28","v":0}]
[]
[{"$f":"'Quality of Life'!C29","v":"What support is in place to ensure the person's ethnicity and cultural needs are met?"}]
[{"$f":"'Quality of Life'!D29","v":"Insert details:"},{"$f":"'Quality of Life'!E29","v":0}]
[]
[{"$f":"'Quality of Life'!C30","v":"What support is in place to ensure the person's religious needs are met?"}]
[{"$f":"'Quality of Life'!D30","v":"Insert details:"},{"$f":"'Quality of Life'!E30","v":0}]
[]
[{"$f":"'Quality of Life'!C31","v":"Is the person's gender and sexual orientation respected?"}]
[{"$f":"'Quality of Life'!D31","v":"Please select from list"},{"$f":"'Quality of Life'!E31","v":0}]
[]
[{"$f":"'Quality of Life'!C32","v":"Additional information?"},{"$f":"'Quality of Life'!E32","v":0}]
[]
[{"$f":"'Quality of Life'!B34","v":"Level of Confidence in care provision following review of Quality of Life"},{"$f":"'Quality of Life'!E34","v":"Please select from list"}]
[]
[{"$f":"'Quality of Life'!B36","v":"Ref"}]
[]
[{"$f":"'Quality of Life'!B37","v":"Q1"},{"$f":"'Quality of Life'!C36","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Quality of Life'!C37","v":0}]
[]
[null,{"$f":"'Quality of Life'!D36","v":"Target date for completion"}]
[null,{"$f":"'Quality of Life'!D37","v":"00:00:00"}]
[]
[null,{"$f":"'Quality of Life'!E36","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Quality of Life'!E37","v":0}]
[]
[null,{"$f":"'Quality of Life'!F36","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Quality of Life'!F37","v":"-"}]
[]
[{"$f":"'Quality of Life'!B38","v":"Q2"},{"$f":"B1273","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Quality of Life'!C38","v":0}]
[]
[null,{"$f":"B1276","v":"Target date for completion"}]
[null,{"$f":"'Quality of Life'!D38","v":"00:00:00"}]
[]
[null,{"$f":"B1279","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Quality of Life'!E38","v":0}]
[]
[null,{"$f":"B1282","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Quality of Life'!F38","v":"-"}]
[]
[{"$f":"'Quality of Life'!B39","v":"Q3"},{"$f":"B1285","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Quality of Life'!C39","v":0}]
[]
[null,{"$f":"B1288","v":"Target date for completion"}]
[null,{"$f":"'Quality of Life'!D39","v":"00:00:00"}]
[]
[null,{"$f":"B1291","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Quality of Life'!E39","v":0}]
[]
[null,{"$f":"B1294","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Quality of Life'!F39","v":"-"}]
[]
[{"$f":"'Quality of Life'!B40","v":"Q4"},{"$f":"B1297","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Quality of Life'!C40","v":0}]
[]
[null,{"$f":"B1300","v":"Target date for completion"}]
[null,{"$f":"'Quality of Life'!D40","v":"00:00:00"}]
[]
[null,{"$f":"B1303","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Quality of Life'!E40","v":0}]
[]
[null,{"$f":"B1306","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Quality of Life'!F40","v":"-"}]
[]
[{"$f":"'Quality of Life'!B41","v":"Q5"},{"$f":"B1309","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Quality of Life'!C41","v":0}]
[]
[null,{"$f":"B1312","v":"Target date for completion"}]
[null,{"$f":"'Quality of Life'!D41","v":"00:00:00"}]
[]
[null,{"$f":"B1315","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Quality of Life'!E41","v":0}]
[]
[null,{"$f":"B1318","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Quality of Life'!F41","v":"-"}]
[]
[{"$f":"'Quality of Life'!B42","v":"Q6"},{"$f":"B1321","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Quality of Life'!C42","v":0}]
[]
[null,{"$f":"B1324","v":"Target date for completion"}]
[null,{"$f":"'Quality of Life'!D42","v":"00:00:00"}]
[]
[null,{"$f":"B1327","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Quality of Life'!E42","v":0}]
[]
[null,{"$f":"B1330","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Quality of Life'!F42","v":"-"}]
[]
["Safety & Risks"]
[]
[{"$f":"'Safety & Risks'!C7","v":"Risk of Harm to the Person and Others"},{"$f":"'Safety & Risks'!E7","v":0}]
[]
[{"$f":"'Safety & Risks'!C8","v":"Does the person pose a risk to themselves?\nIf so, please provide details and include the adjustments that are being made"}]
[{"$f":"'Safety & Risks'!D8","v":"Please select from list"},{"$f":"'Safety & Risks'!E8","v":0}]
[]
[{"$f":"'Safety & Risks'!C9","v":"Does the person pose a risk to others?  \nIf so, please provide details and include the adjustments that are being made"}]
[{"$f":"'Safety & Risks'!D9","v":"Please select from list"},{"$f":"'Safety & Risks'!E9","v":0}]
[]
[{"$f":"'Safety & Risks'!C10","v":"Has the person been subjected to and/or are they at risk of:\n - physical abuse\n - psychological abuse\n - sexual abuse\n - financial abuse\n - exploitation\nIf so, what actions are being taken to ensure they are supported?\nHow is this being monitored and managed?"}]
[{"$f":"'Safety & Risks'!D10","v":"Please select from list"},{"$f":"'Safety & Risks'!E10","v":0}]
[]
[{"$f":"'Safety & Risks'!C11","v":"Is the hospital environment causing harm to the person? \nIf so, please provide details of the actions being taken to ensure they are supported"}]
[{"$f":"'Safety & Risks'!D11","v":"Please select from list"},{"$f":"'Safety & Risks'!E11","v":0}]
[]
[{"$f":"'Safety & Risks'!C12","v":"Does the ward environment have CCTV?\nIf so is there a clear policy and procedure regarding its use?"}]
[{"$f":"'Safety & Risks'!D12","v":"Please select from list"},{"$f":"'Safety & Risks'!E12","v":0}]
[]
[{"$f":"'Safety & Risks'!C13","v":"Safeguarding and Serious Incidents"},{"$f":"'Safety & Risks'!E13","v":0}]
[]
[{"$f":"'Safety & Risks'!C14","v":"Since the last review (or admission) has the person been the subject of any safeguarding concerns?"}]
[{"$f":"'Safety & Risks'!D14","v":"Please select from list"},{"$f":"'Safety & Risks'!E14","v":0}]
[]
[{"$f":"'Safety & Risks'!C15","v":"Was a safeguarding referral made?"}]
[{"$f":"'Safety & Risks'!D15","v":"Please select from list"},{"$f":"'Safety & Risks'!E15","v":0}]
[]
[{"$f":"'Safety & Risks'!C16","v":"Has the person been subject to a previous move from an inpatient service due to abuse / quality / safeguarding concerns?"}]
[{"$f":"'Safety & Risks'!D16","v":"Please select from list"},{"$f":"'Safety & Risks'!E16","v":0}]
[]
[{"$f":"'Safety & Risks'!C17","v":"What trauma informed support is being provided for the person?"}]
[{"$f":"'Safety & Risks'!D17","v":"Provide details:"},{"$f":"'Safety & Risks'!E17","v":0}]
[]
[{"$f":"'Safety & Risks'!C18","v":"Does the service contact the person’s family / carers when a safeguarding concern is raised, or an incident occurs?"}]
[{"$f":"'Safety & Risks'!D18","v":"Please select from list"},{"$f":"'Safety & Risks'!E18","v":0}]
[]
[{"$f":"'Safety & Risks'!C19","v":"Use of Restraint, Seclusion and Segregation"},{"$f":"'Safety & Risks'!E19","v":0}]
[]
[{"$f":"'Safety & Risks'!C20","v":"In the last 6 months have there been episodes where the person has been subject to restraint?"}]
[{"$f":"'Safety & Risks'!D20","v":"Please select from list"},{"$f":"'Safety & Risks'!E20","v":0}]
[]
[{"$f":"'Safety & Risks'!C21","v":"If the person has been restrained, how many times and what type of restraint was used?"}]
[{"$f":"'Safety & Risks'!D21","v":"Provide details:"},{"$f":"'Safety & Risks'!E21","v":0}]
[]
[{"$f":"'Safety & Risks'!C22","v":"In the last 6 months how many times has the person been subjected to seclusion or segregation?"}]
[{"$f":"'Safety & Risks'!D22","v":"Provide details:"},{"$f":"'Safety & Risks'!E22","v":0}]
[]
[{"$f":"'Safety & Risks'!C23","v":"Is the person subject to long term segregation?"}]
[{"$f":"'Safety & Risks'!D23","v":"Please select from list"},{"$f":"'Safety & Risks'!E23","v":0}]
[]
[{"$f":"'Safety & Risks'!C24","v":"Are reviews ongoing and monitored in line with seclusions and segregation policy?"}]
[{"$f":"'Safety & Risks'!D24","v":"Please select from list"},{"$f":"'Safety & Risks'!E24","v":0}]
[]
[{"$f":"'Safety & Risks'!C25","v":"Has the person attended at A&E, an Urgent Care Centre, or seen a GP or nurse following any incidents?"}]
[{"$f":"'Safety & Risks'!D25","v":"Please select from list"},{"$f":"'Safety & Risks'!E25","v":0}]
[]
[{"$f":"'Safety & Risks'!C26","v":"Is there evidence that the person and staff were spoken to following each seclusion, segregation or incident and supported to review?"}]
[{"$f":"'Safety & Risks'!D26","v":"Please select from list"},{"$f":"'Safety & Risks'!E26","v":0}]
[]
[{"$f":"'Safety & Risks'!C27","v":"Are restraint and/or seclusion used as part of the person's treatment:"}]
[{"$f":"'Safety & Risks'!D27","v":"Please select from list"},{"$f":"'Safety & Risks'!E27","v":0}]
[]
[{"$f":"'Safety & Risks'!C28","v":" - is there a care plan to specify how restraint should be used?"}]
[{"$f":"'Safety & Risks'!D28","v":"Please select from list"},{"$f":"'Safety & Risks'!E28","v":0}]
[]
[{"$f":"'Safety & Risks'!C29","v":" - is it proportionate to the risk? "}]
[{"$f":"'Safety & Risks'!D29","v":"Please select from list"},{"$f":"'Safety & Risks'!E29","v":0}]
[]
[{"$f":"'Safety & Risks'!C30","v":" - is it being followed? "}]
[{"$f":"'Safety & Risks'!D30","v":"Please select from list"},{"$f":"'Safety & Risks'!E30","v":0}]
[]
[{"$f":"'Safety & Risks'!C31","v":" - does it link to other relevant care plans e.g. PBS plan"}]
[{"$f":"'Safety & Risks'!D31","v":"Please select from list"},{"$f":"'Safety & Risks'!E31","v":0}]
[]
[{"$f":"'Safety & Risks'!C32","v":" - is it reviewed to ensure least restrictive practice?"}]
[{"$f":"'Safety & Risks'!D32","v":"Please select from list"},{"$f":"'Safety & Risks'!E32","v":0}]
[]
[{"$f":"'Safety & Risks'!C33","v":"Is there a Care Plan which utilises an agreed approach to supporting people in distress? e.g. PBS/ trauma informed etc."}]
[{"$f":"'Safety & Risks'!D33","v":"Please select from list"},{"$f":"'Safety & Risks'!E33","v":0}]
[]
[{"$f":"'Safety & Risks'!C34","v":"Supporting the Person's Rights"},{"$f":"'Safety & Risks'!E34","v":0}]
[]
[{"$f":"'Safety & Risks'!C35","v":"Are the recommendations from previous CTR's incorporated into the person's Care Plan?"}]
[{"$f":"'Safety & Risks'!D35","v":"Please select from list"},{"$f":"'Safety & Risks'!E35","v":0}]
[]
[{"$f":"'Safety & Risks'!C36","v":"Are set actions regularly reviewed at MDT meetings (or elsewhere) and progress recorded/updated?"}]
[{"$f":"'Safety & Risks'!D36","v":"Please select from list"},{"$f":"'Safety & Risks'!E36","v":0}]
[]
[{"$f":"'Safety & Risks'!C37","v":"Is this person regularly reviewed as part of the DSR risk stratification process?"}]
[{"$f":"'Safety & Risks'!D37","v":"Please select from list"},{"$f":"'Safety & Risks'!E37","v":0}]
[]
[{"$f":"'Safety & Risks'!C38","v":"Additional information?"},{"$f":"'Safety & Risks'!E38","v":0}]
[]
[{"$f":"'Safety & Risks'!B40","v":"Level of Confidence in care provision following review of Safety & Risk"},{"$f":"'Safety & Risks'!E40","v":"Please select from list"}]
[]
[{"$f":"'Safety & Risks'!B42","v":"Ref"}]
[]
[{"$f":"'Safety & Risks'!B43","v":"R1"},{"$f":"'Safety & Risks'!C42","v":"Summary of action to ensure person's safety"}]
[null,{"$f":"'Safety & Risks'!C43","v":0}]
[]
[null,{"$f":"'Safety & Risks'!D42","v":"Target date for completion"}]
[null,{"$f":"'Safety & Risks'!D43","v":"00:00:00"}]
[]
[null,{"$f":"'Safety & Risks'!E42","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Safety & Risks'!E43","v":0}]
[]
[null,{"$f":"'Safety & Risks'!F42","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Safety & Risks'!F43","v":"-"}]
[]
[{"$f":"'Safety & Risks'!B44","v":"R2"},{"$f":"B1442","v":"Summary of action to ensure person's safety"}]
[null,{"$f":"'Safety & Risks'!C44","v":0}]
[]
[null,{"$f":"B1445","v":"Target date for completion"}]
[null,{"$f":"'Safety & Risks'!D44","v":"00:00:00"}]
[]
[null,{"$f":"B1448","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Safety & Risks'!E44","v":0}]
[]
[null,{"$f":"B1451","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Safety & Risks'!F44","v":"-"}]
[]
[{"$f":"'Safety & Risks'!B45","v":"R3"},{"$f":"B1454","v":"Summary of action to ensure person's safety"}]
[null,{"$f":"'Safety & Risks'!C45","v":0}]
[]
[null,{"$f":"B1457","v":"Target date for completion"}]
[null,{"$f":"'Safety & Risks'!D45","v":"00:00:00"}]
[]
[null,{"$f":"B1460","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Safety & Risks'!E45","v":0}]
[]
[null,{"$f":"B1463","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Safety & Risks'!F45","v":"-"}]
[]
[{"$f":"'Safety & Risks'!B46","v":"R4"},{"$f":"B1466","v":"Summary of action to ensure person's safety"}]
[null,{"$f":"'Safety & Risks'!C46","v":0}]
[]
[null,{"$f":"B1469","v":"Target date for completion"}]
[null,{"$f":"'Safety & Risks'!D46","v":"00:00:00"}]
[]
[null,{"$f":"B1472","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Safety & Risks'!E46","v":0}]
[]
[null,{"$f":"B1475","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Safety & Risks'!F46","v":"-"}]
[]
[{"$f":"'Safety & Risks'!B47","v":"R5"},{"$f":"B1478","v":"Summary of action to ensure person's safety"}]
[null,{"$f":"'Safety & Risks'!C47","v":0}]
[]
[null,{"$f":"B1481","v":"Target date for completion"}]
[null,{"$f":"'Safety & Risks'!D47","v":"00:00:00"}]
[]
[null,{"$f":"B1484","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Safety & Risks'!E47","v":0}]
[]
[null,{"$f":"B1487","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Safety & Risks'!F47","v":"-"}]
[]
[{"$f":"'Safety & Risks'!B48","v":"R6"},{"$f":"B1490","v":"Summary of action to ensure person's safety"}]
[null,{"$f":"'Safety & Risks'!C48","v":0}]
[]
[null,{"$f":"B1493","v":"Target date for completion"}]
[null,{"$f":"'Safety & Risks'!D48","v":"00:00:00"}]
[]
[null,{"$f":"B1496","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Safety & Risks'!E48","v":0}]
[]
[null,{"$f":"B1499","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Safety & Risks'!F48","v":"-"}]
[]
["Sit and See"]
[]
[{"$f":"'Sit and See'!C7","v":"Using Your Senses – Consider What Can I Hear, Smell, See, Feel, Touch?"},{"$f":"'Sit and See'!D7","v":0}]
[]
[{"$f":"'Sit and See'!C8","v":"How does this ward/unit make me feel, how does it smell?"},{"$f":"'Sit and See'!D8","v":0}]
[]
[{"$f":"'Sit and See'!C9","v":"What is the atmosphere like?"},{"$f":"'Sit and See'!D9","v":0}]
[]
[{"$f":"'Sit and See'!C10","v":"What interactions are there between staff/patients/visitors?"},{"$f":"'Sit and See'!D10","v":0}]
[]
[{"$f":"'Sit and See'!C11","v":"Things to look out for"},{"$f":"'Sit and See'!D11","v":0}]
[]
[{"$f":"'Sit and See'!C12","v":"Welcoming reception area"},{"$f":"'Sit and See'!D12","v":0}]
[]
[{"$f":"'Sit and See'!C13","v":"Welcome signs (including accessible signage)"},{"$f":"'Sit and See'!D13","v":0}]
[]
[{"$f":"'Sit and See'!C14","v":"Acknowledgement on arrival – eye contact, smiles, a greeting"},{"$f":"'Sit and See'!D14","v":0}]
[]
[{"$f":"'Sit and See'!C15","v":"Information available, clear and visible"},{"$f":"'Sit and See'!D15","v":0}]
[]
[{"$f":"'Sit and See'!C16","v":"Contact information for relatives and visitors is visible"},{"$f":"'Sit and See'!D16","v":0}]
[]
[{"$f":"'Sit and See'!C17","v":"Visiting times are evident"},{"$f":"'Sit and See'!D17","v":0}]
[]
[{"$f":"'Sit and See'!C18","v":"Information about who the staff team are and who the ward manager is"},{"$f":"'Sit and See'!D18","v":0}]
[]
[{"$f":"'Sit and See'!C19","v":"Is there evidence that the ward is accessible including easy read information being available?"},{"$f":"'Sit and See'!D19","v":0}]
[]
[{"$f":"'Sit and See'!C20","v":"Safety"},{"$f":"'Sit and See'!D20","v":0}]
[]
[{"$f":"'Sit and See'!C21","v":"What do I notice about safety issues?"},{"$f":"'Sit and See'!D21","v":0}]
[]
[{"$f":"'Sit and See'!C22","v":"What information tells me about the quality of care here?"},{"$f":"'Sit and See'!D22","v":0}]
[]
[{"$f":"'Sit and See'!C23","v":"How are medicines managed on the ward?"},{"$f":"'Sit and See'!D23","v":0}]
[]
[{"$f":"'Sit and See'!C24","v":"Does the service use CCTV?"},{"$f":"'Sit and See'!D24","v":0}]
[]
[{"$f":"'Sit and See'!C25","v":"Is the environment well maintained, what condition is the environment in, including the bedrooms and bathrooms?"},{"$f":"'Sit and See'!D25","v":0}]
[]
[{"$f":"'Sit and See'!C26","v":"Things to look out for"},{"$f":"'Sit and See'!D26","v":0}]
[]
[{"$f":"'Sit and See'!C27","v":"A clean and well-maintained environment. Graffiti/ broken windows/holes in the walls"},{"$f":"'Sit and See'!D27","v":0}]
[]
[{"$f":"'Sit and See'!C28","v":"Hand gels are available and used"},{"$f":"'Sit and See'!D28","v":0}]
[]
[{"$f":"'Sit and See'!C29","v":"Clear information about infection prevention and control and evidence of staff implementing procedures"},{"$f":"'Sit and See'!D29","v":0}]
[]
[{"$f":"'Sit and See'!C30","v":"Rubbish/dirty items and linen are disposed of appropriately and not visible"},{"$f":"'Sit and See'!D30","v":0}]
[]
[{"$f":"'Sit and See'!C31","v":"Equipment and environment appear to be well maintained"},{"$f":"'Sit and See'!D31","v":0}]
[]
[{"$f":"'Sit and See'!C32","v":"Protected times/areas for staff to manage drugs and essential equipment"},{"$f":"'Sit and See'!D32","v":0}]
[]
[{"$f":"'Sit and See'!C33","v":"Patients always have access to drinks"},{"$f":"'Sit and See'!D33","v":0}]
[]
[{"$f":"'Sit and See'!C34","v":"Security and fire procedures are evident"},{"$f":"'Sit and See'!D34","v":0}]
[]
[{"$f":"'Sit and See'!C35","v":"Caring and Involving"},{"$f":"'Sit and See'!D35","v":0}]
[]
[{"$f":"'Sit and See'!C36","v":"What behaviours can I see that do or do not inspire confidence?"},{"$f":"'Sit and See'!D36","v":0}]
[]
[{"$f":"'Sit and See'!C37","v":"Do staff appear to know their patients well?"},{"$f":"'Sit and See'!D37","v":0}]
[]
[{"$f":"'Sit and See'!C38","v":"Are there any indicators that patients and carers are involved in their own care?"},{"$f":"'Sit and See'!D38","v":0}]
[]
[{"$f":"'Sit and See'!C39","v":"How is dignity and privacy being respected?"},{"$f":"'Sit and See'!D39","v":0}]
[]
[{"$f":"'Sit and See'!C40","v":"How are staff interacting with patients (eg do they talk in lower tones when having private conversations)?"},{"$f":"'Sit and See'!D40","v":0}]
[]
[{"$f":"'Sit and See'!C41","v":"Can I observe good team working taking place?"},{"$f":"'Sit and See'!D41","v":0}]
[]
[{"$f":"'Sit and See'!C42","v":"Is people’s clothing in good condition?"},{"$f":"'Sit and See'!D42","v":0}]
[]
[{"$f":"'Sit and See'!C43","v":"Things to look out for"},{"$f":"'Sit and See'!D43","v":0}]
[]
[{"$f":"'Sit and See'!C44","v":"Staff are communicating and interacting positively with patients"},{"$f":"'Sit and See'!D44","v":0}]
[]
[{"$f":"'Sit and See'!C45","v":"Patients are dressed to protect their dignity"},{"$f":"'Sit and See'!D45","v":0}]
[]
[{"$f":"'Sit and See'!C46","v":"Information for patients and carers is available in a clear and user-friendly format"},{"$f":"'Sit and See'!D46","v":0}]
[]
[{"$f":"'Sit and See'!C47","v":"Visitors have access to chairs and space to visit"},{"$f":"'Sit and See'!D47","v":0}]
[]
[{"$f":"'Sit and See'!C48","v":"Information about how to complain and compliment is visible and in an accessible format"},{"$f":"'Sit and See'!D48","v":0}]
[]
[{"$f":"'Sit and See'!C49","v":"Signage for how to access advocacy is visible and in an accessible format"},{"$f":"'Sit and See'!D49","v":0}]
[]
[{"$f":"'Sit and See'!C50","v":"Well Organised and Calm"},{"$f":"'Sit and See'!D50","v":0}]
[]
[{"$f":"'Sit and See'!C51","v":"Does the ward/unit feel calm or chaotic (even if it is busy)?"},{"$f":"'Sit and See'!D51","v":0}]
[]
[{"$f":"'Sit and See'!C52","v":"Is essential information about each patient available for staff?"},{"$f":"'Sit and See'!D52","v":0}]
[]
[{"$f":"'Sit and See'!C53","v":"Does the unit/ward look well organised, clean and uncluttered?"},{"$f":"'Sit and See'!D53","v":0}]
[]
[{"$f":"'Sit and See'!C54","v":"Additional information?"},{"$f":"'Sit and See'!D54","v":0}]
[null,{"$f":"'Sit and See'!D55","v":0}]
[{"$f":"'Sit and See'!B56","v":"Level of Confidence in care provision following Sit and See session"},{"$f":"'Sit and See'!D56","v":"Please select from list"}]
[]
[{"$f":"'Sit and See'!B58","v":"Ref"}]
[]
[{"$f":"'Sit and See'!B59","v":"SS1"},{"$f":"'Sit and See'!C58","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Sit and See'!C59","v":0}]
[]
[null,{"$f":"'Sit and See'!D58","v":"Target date for completion"}]
[null,{"$f":"'Sit and See'!D59","v":"00:00:00"}]
[]
[null,{"$f":"'Sit and See'!E58","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Sit and See'!E59","v":0}]
[]
[null,{"$f":"'Sit and See'!F58","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Sit and See'!F59","v":"-"}]
[]
[{"$f":"'Sit and See'!B60","v":"SS2"},{"$f":"B1616","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Sit and See'!C60","v":0}]
[]
[null,{"$f":"B1619","v":"Target date for completion"}]
[null,{"$f":"'Sit and See'!D60","v":"00:00:00"}]
[]
[null,{"$f":"B1622","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Sit and See'!E60","v":0}]
[]
[null,{"$f":"B1625","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Sit and See'!F60","v":"-"}]
[]
[{"$f":"'Sit and See'!B61","v":"SS3"},{"$f":"B1628","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Sit and See'!C61","v":0}]
[]
[null,{"$f":"B1631","v":"Target date for completion"}]
[null,{"$f":"'Sit and See'!D61","v":"00:00:00"}]
[]
[null,{"$f":"B1634","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Sit and See'!E61","v":0}]
[]
[null,{"$f":"B1637","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Sit and See'!F61","v":"-"}]
[]
[{"$f":"'Sit and See'!B62","v":"SS4"},{"$f":"B1640","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Sit and See'!C62","v":0}]
[]
[null,{"$f":"B1643","v":"Target date for completion"}]
[null,{"$f":"'Sit and See'!D62","v":"00:00:00"}]
[]
[null,{"$f":"B1646","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Sit and See'!E62","v":0}]
[]
[null,{"$f":"B1649","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Sit and See'!F62","v":"-"}]
[]
[{"$f":"'Sit and See'!B63","v":"SS5"},{"$f":"B1652","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Sit and See'!C63","v":0}]
[]
[null,{"$f":"B1655","v":"Target date for completion"}]
[null,{"$f":"'Sit and See'!D63","v":"00:00:00"}]
[]
[null,{"$f":"B1658","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Sit and See'!E63","v":0}]
[]
[null,{"$f":"B1661","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Sit and See'!F63","v":"-"}]
[]
[{"$f":"'Sit and See'!B64","v":"SS6"},{"$f":"B1664","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Sit and See'!C64","v":0}]
[]
[null,{"$f":"B1667","v":"Target date for completion"}]
[null,{"$f":"'Sit and See'!D64","v":"00:00:00"}]
[]
[null,{"$f":"B1670","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Sit and See'!E64","v":0}]
[]
[null,{"$f":"B1673","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Sit and See'!F64","v":"-"}]
[]
["Future Planning"]
[]
[{"$f":"'Future planning'!C9","v":"12-point Discharge Plan"},{"$f":"'Future planning'!E9","v":0}]
[]
[{"$f":"'Future planning'!B6","v":"When the person is ready to be discharged, where is that likely to be to:"},{"$f":"'Future planning'!E6","v":"Please select from list"}]
[]
[{"$f":"'Future planning'!C10","v":"Where on the 12-point discharge plan does this person currently sit?"},{"$f":"'Future planning'!D10","v":"Please select from list"}]
[]
[{"$f":"'Future planning'!C11","v":"Is there any difference of opinion by the MDT, keyworker, local authority, health and local authority commissioners or other key stakeholders on where the person sits on 12- point discharge plan?"}]
[{"$f":"'Future planning'!D11","v":"Please select from list"},{"$f":"'Future planning'!E11","v":0}]
[]
[{"$f":"'Future planning'!C12","v":"Barriers to Discharge"},{"$f":"'Future planning'!E12","v":0}]
[]
[{"$f":"'Future planning'!C13","v":"Does the person need to remain in hospital? If so, why?"}]
[{"$f":"'Future planning'!D13","v":"Please select from list"},{"$f":"'Future planning'!E13","v":0}]
[]
[{"$f":"'Future planning'!C14","v":"Are there any barriers that are preventing discharge?"}]
[{"$f":"'Future planning'!D14","v":"Please select from list"},{"$f":"'Future planning'!E14","v":0}]
[]
[{"$f":"'Future planning'!C15","v":"Are any steps being taken to address these barriers?"}]
[{"$f":"'Future planning'!D15","v":"Please select from list"},{"$f":"'Future planning'!E15","v":0}]
[]
[{"$f":"'Future planning'!C16","v":"Engaging the Person and their Family in Planning their Future"},{"$f":"'Future planning'!E16","v":0}]
[]
[{"$f":"'Future planning'!C17","v":"Have there been discussions with the person around their options for care and support in the community and the different ways this could be accessed?"}]
[{"$f":"'Future planning'!D17","v":"Please select from list"},{"$f":"'Future planning'!E17","v":0}]
[]
[{"$f":"'Future planning'!C18","v":"Has the person been supported to do any life planning, using tools like PATH/good day, bad day, etc? "}]
[{"$f":"'Future planning'!D18","v":"Please select from list"},{"$f":"'Future planning'!E18","v":0}]
[]
[{"$f":"'Future planning'!C19","v":"Accommodation"},{"$f":"'Future planning'!E19","v":0}]
[]
[{"$f":"'Future planning'!C20","v":"Has a housing needs assessment been completed with the person? "}]
[{"$f":"'Future planning'!D20","v":"Please select from list"},{"$f":"'Future planning'!E20","v":0}]
[]
[{"$f":"'Future planning'!C21","v":"What progress has been made in obtaining housing for the person? "}]
[{"$f":"'Future planning'!D21","v":"Provide details:"},{"$f":"'Future planning'!E21","v":0}]
[]
[{"$f":"'Future planning'!C22","v":"What type of home did the person live in before hospital?  "}]
[{"$f":"'Future planning'!D22","v":"Provide details:"},{"$f":"'Future planning'!E22","v":0}]
[]
[{"$f":"'Future planning'!C23","v":"Has the person been asked where they would like to live and what support they would like to receive on discharge?"}]
[{"$f":"'Future planning'!D23","v":"Please select from list"},{"$f":"'Future planning'!E23","v":0}]
[]
[{"$f":"'Future planning'!C24","v":"What progress has been made in funding being secured for housing upon discharge?"}]
[{"$f":"'Future planning'!D24","v":"Provide details:"},{"$f":"'Future planning'!E24","v":0}]
[]
[{"$f":"'Future planning'!C25","v":"Medication"},{"$f":"'Future planning'!E25","v":0}]
[]
[{"$f":"'Future planning'!C26","v":"Will a Shared Care Agreement be needed in respect of medication, if so, is this being addressed?"}]
[{"$f":"'Future planning'!D26","v":"Please select from list"},{"$f":"'Future planning'!E26","v":0}]
[]
[{"$f":"'Future planning'!C27","v":"Are there clear and specific medication plans for discharge?"}]
[{"$f":"'Future planning'!D27","v":"Please select from list"},{"$f":"'Future planning'!E27","v":0}]
[]
[{"$f":"'Future planning'!C28","v":"Is there a clear and specific medication plan for transfer including:\n• medication timeline for length of treatment?\n• continuity of medication supply?"}]
[{"$f":"'Future planning'!D28","v":"Please select from list"},{"$f":"'Future planning'!E28","v":0}]
[]
[{"$f":"'Future planning'!C29","v":"Has medication information been shared with the person's GP and Community Team including:\n• diagnosis?\n• length of possible treatment?\n• reduction and discontinuation plan?"}]
[{"$f":"'Future planning'!D29","v":"Please select from list"},{"$f":"'Future planning'!E29","v":0}]
[]
[{"$f":"'Future planning'!C30","v":"Discharge Plan"},{"$f":"'Future planning'!E30","v":0}]
[]
[{"$f":"'Future planning'!C31","v":"Is there a clear dicharge date with an identified discharge destination?"}]
[{"$f":"'Future planning'!D31","v":"Please select from list"},{"$f":"'Future planning'!E31","v":0}]
[]
[{"$f":"'Future planning'!C32","v":"Does the person have a view of the discharge plan?"}]
[{"$f":"'Future planning'!D32","v":"Please select from list"},{"$f":"'Future planning'!E32","v":0}]
[]
[{"$f":"'Future planning'!C33","v":"Are the person and their family actively involved in decisions about their future care?"}]
[{"$f":"'Future planning'!D33","v":"Please select from list"},{"$f":"'Future planning'!E33","v":0}]
[]
[{"$f":"'Future planning'!C34","v":"Safeguarding Issues "},{"$f":"'Future planning'!E34","v":0}]
[]
[{"$f":"'Future planning'!C35","v":"Were there any safeguarding concerns at the point admission, that will require additional planning, to ensure a safe discharge? \nIf so, what plan is in place to mitigate these risks?"}]
[{"$f":"'Future planning'!D35","v":"Please select from list"},{"$f":"'Future planning'!E35","v":0}]
[]
[{"$f":"'Future planning'!C36","v":"If there are any specific safeguarding concerns for this person, are appropriate mitigations in place to safeguard them in their new accommodation?"}]
[{"$f":"'Future planning'!D36","v":"Please select from list"},{"$f":"'Future planning'!E36","v":0}]
[]
[{"$f":"'Future planning'!C37","v":"Contingency Planning"},{"$f":"'Future planning'!E37","v":0}]
[]
[{"$f":"'Future planning'!C38","v":"Does the person have a named care co-ordinator and social worker in the community?"}]
[{"$f":"'Future planning'!D38","v":"Please select from list"},{"$f":"'Future planning'!E38","v":0}]
[]
[{"$f":"'Future planning'!C39","v":"Do they have contingency plans they are happy with that cover a number of different scenarios?"}]
[{"$f":"'Future planning'!D39","v":"Please select from list"},{"$f":"'Future planning'!E39","v":0}]
[]
[{"$f":"'Future planning'!C40","v":"Is there a crisis plan in place?"}]
[{"$f":"'Future planning'!D40","v":"Please select from list"},{"$f":"'Future planning'!E40","v":0}]
[]
[{"$f":"'Future planning'!C41","v":"Additional information?"},{"$f":"'Future planning'!E41","v":0}]
[]
[{"$f":"'Future planning'!B43","v":"Level of Confidence in care provision following Discharge Planning"},{"$f":"'Future planning'!E43","v":"Please select from list"}]
[]
[{"$f":"'Future planning'!B45","v":"Ref"}]
[]
[{"$f":"'Future planning'!B46","v":"FP1"},{"$f":"'Future planning'!C45","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Future planning'!C46","v":0}]
[]
[null,{"$f":"'Future planning'!D45","v":"Target date for completion"}]
[null,{"$f":"'Future planning'!D46","v":"00:00:00"}]
[]
[null,{"$f":"'Future planning'!E45","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Future planning'!E46","v":0}]
[]
[null,{"$f":"'Future planning'!F45","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Future planning'!F46","v":"-"}]
[]
[{"$f":"'Future planning'!B47","v":"FP2"},{"$f":"B1785","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Future planning'!C47","v":0}]
[]
[null,{"$f":"B1788","v":"Target date for completion"}]
[null,{"$f":"'Future planning'!D47","v":"00:00:00"}]
[]
[null,{"$f":"B1791","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Future planning'!E47","v":0}]
[]
[null,{"$f":"B1794","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Future planning'!F47","v":"-"}]
[]
[{"$f":"'Future planning'!B48","v":"FP3"},{"$f":"B1797","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Future planning'!C48","v":0}]
[]
[null,{"$f":"B1800","v":"Target date for completion"}]
[null,{"$f":"'Future planning'!D48","v":"00:00:00"}]
[]
[null,{"$f":"B1803","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Future planning'!E48","v":0}]
[]
[null,{"$f":"B1806","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Future planning'!F48","v":"-"}]
[]
[{"$f":"'Future planning'!B49","v":"FP4"},{"$f":"B1809","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Future planning'!C49","v":0}]
[]
[null,{"$f":"B1812","v":"Target date for completion"}]
[null,{"$f":"'Future planning'!D49","v":"00:00:00"}]
[]
[null,{"$f":"B1815","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Future planning'!E49","v":0}]
[]
[null,{"$f":"B1818","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Future planning'!F49","v":"-"}]
[]
[{"$f":"'Future planning'!B50","v":"FP5"},{"$f":"B1821","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Future planning'!C50","v":0}]
[]
[null,{"$f":"B1824","v":"Target date for completion"}]
[null,{"$f":"'Future planning'!D50","v":"00:00:00"}]
[]
[null,{"$f":"B1827","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Future planning'!E50","v":0}]
[]
[null,{"$f":"B1830","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Future planning'!F50","v":"-"}]
[]
[{"$f":"'Future planning'!B51","v":"FP6"},{"$f":"B1833","v":"Summary of Actions to be taken"}]
[null,{"$f":"'Future planning'!C51","v":0}]
[]
[null,{"$f":"B1836","v":"Target date for completion"}]
[null,{"$f":"'Future planning'!D51","v":"00:00:00"}]
[]
[null,{"$f":"B1839","v":"Name of person responsible for action, Job Title and Employer"}]
[null,{"$f":"'Future planning'!E51","v":0}]
[]
[null,{"$f":"B1842","v":"If Urgent select \"Yes\""}]
[null,{"$f":"'Future planning'!F51","v":"-"}]

{"sheet":"sourcedata2","index":14,"n_rows":570,"n_cols":9,"rows_kept":570,"cut":false,"hidden":true,"merged":[]}
["ICB"]
["Please select from list"]
["NHS Bath and North East Somerset, Swindon and Wiltshire ICB"]
["NHS Bedfordshire, Luton and Milton Keynes ICB"]
["NHS Birmingham and Solihull ICB"]
["NHS Black Country ICB"]
["NHS Bristol, North Somerset and South Gloucestershire ICB"]
["NHS Buckinghamshire, Oxfordshire and Berkshire West ICB"]
["NHS Cambridgeshire and Peterborough ICB"]
["NHS Cheshire and Merseyside ICB"]
["NHS Cornwall and the Isles of Scilly ICB"]
["NHS Coventry and Warwickshire ICB"]
["NHS Derby and Derbyshire ICB"]
["NHS Devon ICB"]
["NHS Dorset ICB"]
["NHS Frimley ICB"]
["NHS Gloucestershire ICB"]
["NHS Greater Manchester ICB"]
["NHS Hampshire and Isle of Wight ICB"]
["NHS Herefordshire and Worcestershire ICB"]
["NHS Hertfordshire and West Essex ICB"]
["NHS Humber and North Yorkshire ICB"]
["NHS Kent and Medway ICB"]
["NHS Lancashire and South Cumbria ICB"]
["NHS Leicester, Leicestershire and Rutland ICB"]
["NHS Lincolnshire ICB"]
["NHS Mid and South Essex ICB"]
["NHS Norfolk and Waveney ICB"]
["NHS Central London ICB"]
["NHS North Central London ICB"]
["NHS North East and North Cumbria ICB"]
["NHS North East London ICB"]
["NHS North West London ICB"]
["NHS Northamptonshire ICB"]
["NHS Nottingham and Nottinghamshire ICB"]
["NHS Shropshire, Telford and Wrekin ICB"]
["NHS Somerset ICB"]
["NHS South East London ICB"]
["NHS South West London ICB"]
["NHS South Yorkshire ICB"]
["NHS Staffordshire and Stoke-on-Trent ICB"]
["NHS Suffolk and North East Essex ICB"]
["NHS Surrey Heartlands ICB"]
["NHS Sussex ICB"]
["NHS West Yorkshire ICB"]
[]
["Reason for Review","Purpose of Review"]
["Please select from list"," "]
["Independently chaired CTR for people in long-term segregation"," - the safety, care and future planning for the person\n - do they need to continue to stay in hospital to receive care and treatment\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided.\nNOTE: The Panel should be  enhanced by an independent chair appointed by DHC and a CQC Mental Health Act reviewer"]
["New diagnosis of Autism and/or a Learning Disability whilst in hospital"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided\n - ensure patient has been added to the Assuring Transformation database"]
["Proposal to remove a diagnosis of Learning Disability or Autism"," - to ensure that the person, their family and advocate have been included in the decision-making process regarding the removal of the diagnosis\n - to ensure that the impact of this change on their care, education and treatment has been fully considered\nNB. Removal of diagnosis will mean the person no longer meets the requirements to be included in the Assuring Transformation Database\n"]
["Review requested prior to standard time scales"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided.\n"]
["Security level increased (same inpatient setting)"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided\n - are the clinical aims of the person being met\n - is there a clear rationale for why care and treatment cannot be safely delivered in the community"]
["Security level reduced (same inpatient setting)"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided\n - are the clinical aims of the person being met\n - is there a clear rationale for why care and treatment cannot be safely delivered in the community"]
["Six month Care and Treatment Review (non-secure services)"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided"]
["Six weeks since patient was admitted following community CTR"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided  "]
["Transferred in from another inpatient setting"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided\n - are the clinical aims of the person being met\n - is there a clear rationale for why care and treatment cannot be safely delivered in the community"]
["Twelve month Care and Treatment Review (secure services)"," - the safety, care and future planning for the person\n - the reason for the hospital stay\n - barriers to progression and discharge and how to overcome these\n - are the correct or most effective treatments are being provided"]
["Twenty-eight day post-admission CTR where no community CTR"," - review the circumstances and route to admission to establish if hospital is the most appropriate setting for a person's care or whether care could be provided in the community or another setting\n - establish the purpose of admission, expected outcomes, timescales and expected length of stay\n - ensure that planning is underway for discharge with preliminary timescales and any commissioning that may be required to support discharge (e.g. housing/workforce) begins as early as possible."]
[]
["Sites","Provider","Site Commissioner"]
["Please select from list","  - ","  -"]
["ALLINGTON CENTRE","KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST","NHS KENT AND MEDWAY CCG"]
["ABRAHAM COWLEY UNIT","SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST","SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST"]
["AIREDALE GENERAL HOSPITAL","AIREDALE NHS FOUNDATION TRUST","AIREDALE NHS FOUNDATION TRUST"]
["ALDERLEY UNIT","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST"]
["ALDERS CLINIC","CYGNET HEALTH CARE LIMITED","CYGNET HEALTH CARE LIMITED"]
["ALL SAINTS HOSPITAL","ELYSIUM HEALTHCARE","ELYSIUM HEALTHCARE"]
["AMBER LODGE (SECURE)","ROTHERHAM DONCASTER AND SOUTH HUMBER NHS FOUNDATION TRUST","ROTHERHAM DONCASTER AND SOUTH HUMBER NHS FOUNDATION TRUST"]
["ANCORA HOUSE (CAMHS)","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST"]
["ANSON ROAD","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST"]
["ANTELOPE HOUSE","SOUTHERN HEALTH NHS FOUNDATION TRUST","SOUTHERN HEALTH NHS FOUNDATION TRUST"]
["ARBURY COURT","ELYSIUM HEALTHCARE","ELYSIUM HEALTHCARE"]
["ARDENLEIGH","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST"]
["ARDENLEIGH CAMHS","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST"]
["ARNOLD LODGE","NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS LEICESTER CITY CCG"]
["ASH GREEN","DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST","NHS DERBY AND DERBYSHIRE CCG"]
["ASH WARD, WILLOW WARD AND WESSEX HOUSE","SOMERSET PARTNERSHIP NHS FOUNDATION TRUST","NHS SOMERSET CCG"]
["ASHWORTH HOSPITAL","MERSEY CARE NHS TRUST","NHS SOUTH SEFTON CCG"]
["ATHERLEIGH PARK","NORTH WEST BOROUGHS HEALTHCARE NHS FOUNDATION TRUST","NHS WIGAN BOROUGH CCG"]
["AYR CLINIC","PRIORY GROUP LIMITED","SCOTLAND"]
["BALLINGTON HOUSE","ELYSIUM HEALTHCARE","NHS NORTH STAFFORDSHIRE CCG"]
["BANKFIELDS COURT","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS TEES VALLEY CCG"]
["BARBERRY","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST","NHS BIRMINGHAM AND SOLIHULL CCG"]
["BASSETLAW HOSPITAL","DONCASTER AND BASSETLAW TEACHING HOSPITALS","NHS BASSETLAW CCG"]
["BERKELEY HOUSE (formerly HOLLYBROOK)","2GETHER NHS FOUNDATION TRUST","NHS GLOUCESTERSHIRE CCG"]
["BERRYWOOD HOSPITAL","NORTHAMPTONSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS NORTHAMPTONSHIRE CCG "]
["BETHLEM ROYAL HOSPITAL","SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["BEVERLEY HOUSE","PRIORY GROUP LIMITED","NHS BIRMINGHAM AND SOLIHULL CCG"]
["BIRCH HILL HOSPITAL","PENNINE CARE NHS FOUNDATION TRUST","NHS HEYWOOD, MIDDLETON AND ROCHDALE CCG"]
["BLACKBERRY HILL HOSPITAL","AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST","NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE CCG"]
["BLUEBIRD HOUSE CAMHS","SOUTHERN HEALTH NHS FOUNDATION TRUST","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["BODMIN HOSPITAL","CORNWALL PARTNERSHIP NHS FOUNDATION TRUST","NHS KERNOW CCG"]
["BOSTALL HOUSE","CYGNET HEALTH CARE LIMITED","NHS SOUTH EAST LONDON CCG"]
["BOWMERE HOSPITAL","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","NHS CHESHIRE CCG"]
["BRACTON CENTRE","OXLEAS NHS FOUNDATION TRUST","NHS KENT AND MEDWAY CCG"]
["BRADLEY COMPLEX CARE  (formerly BRADLEY WOODLANDS)","ELYSIUM HEALTHCARE","NHS NORTH EAST LINCOLNSHIRE CCG"]
["BRAMLEY STREET REHABILITATION","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS SALFORD CCG"]
["BREIGHTMET CENTRE FOR AUTISM","ASC HEALTHCARE LTD","NHS BOLTON CCG"]
["BRIGHTON & HOVE CLINIC","ELYSIUM HEALTHCARE","NHS BRIGHTON AND HOVE CCG"]
["BROAD OAK UNIT, BROADGREEN HOSPITAL","MERSEY CARE NHS TRUST","NHS LIVERPOOL CCG"]
["BROADMOOR HOSPITAL (high secure)","WEST LONDON MENTAL HEALTH NHS TRUST","NHS FRIMLEY CCG"]
["BROCKFIELD HOUSE","SOUTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS MID ESSEX CCG"]
["BROMLEY ROAD HOSPITAL","CHOICE LIFESTYLES LTD","NHS SOUTH EAST LONDON CCG"]
["BROOKFIELD ","KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST","NHS KENT AND MEDWAY CCG"]
["BROOKLANDS HOSPITAL","COVENTRY AND WARWICKSHIRE PARTNERSHIP NHS TRUST","NHS BIRMINGHAM AND SOLIHULL CCG"]
["BROOMHILL","ST MATTHEW'S HEALTHCARE","NHS NORTHAMPTONSHIRE CCG "]
["BURSTON HOUSE","PRIORY GROUP LIMITED","NHS NORFOLK & WAVENEY CCG"]
["BURTON PARK","PRIORY GROUP LIMITED","NHS EAST LEICESTERSHIRE AND RUTLAND CCG"]
["BUSHEY FIELDS HOSPITAL","DUDLEY AND WALSALL MENTAL HEALTH PARTNERSHIP NHS TRUST","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["CALDERDALE ROYAL HOSPITAL - THE DALES","SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS CALDERDALE CCG"]
["CALLINGTON ROAD HOSPITAL","AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST","NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE CCG"]
["CALUDON CENTRE","COVENTRY AND WARWICKSHIRE PARTNERSHIP NHS TRUST","NHS COVENTRY AND WARWICKSHIRE CCG"]
["CAMPUS FOR AGEING AND VITALITY","THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST","NHS NEWCASTLE GATESHEAD CCG"]
["CARLTON CLINIC","CUMBRIA PARTNERSHIP NHS FOUNDATION TRUST","NHS NORTH CUMBRIA CCG"]
["CAVELL CENTRE","CAMBRIDGESHIRE AND PETERBOROUGH NHS FOUNDATION TRUST","NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG"]
["CAWSTON PARK","JEESAL AKMAN CARE CORPORATION LTD","NHS NORFOLK & WAVENEY CCG"]
["CEDAR HOUSE HOSPITAL","THE HUNTERCOMBE GROUP","NHS KENT AND MEDWAY CCG"]
["CEDAR VALE HOSPITAL","CYGNET HEALTH CARE LIMITED","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["CEFN CARNAU","ELYSIUM HEALTHCARE","WALES"]
["CHADWICK LODGE","ELYSIUM HEALTHCARE","NHS BEDFORDSHIRE, LUTON AND MILTON KEYNES CCG"]
["CHASE FARM HOSPITAL","BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS TRUST","NHS NORTH CENTRAL LONDON CCG"]
["CHEADLE ROYAL","PRIORY GROUP LIMITED","NHS STOCKPORT CCG"]
["CHELMSFORD - THE LINDEN CENTRE","NORTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS MID ESSEX CCG"]
["CHESTERFIELD ROYAL HOSPITAL - HARTINGTON UNIT","DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST","NHS DERBY AND DERBYSHIRE CCG"]
["CHESWOLD PARK HOSPITAL (DONCASTER)","RIVERSIDE HEALTHCARE LTD","NHS DONCASTER CCG"]
["CHICHESTER CENTRE","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS WEST SUSSEX CCG"]
["CHORLEY AND SOUTH RIBBLE DISTRICT GENERAL HOSPITAL","LANCASHIRE CARE NHS FOUNDATION TRUST","NHS CHORLEY AND SOUTH RIBBLE CCG"]
["CHURCH VILLAGE","PRIORY GROUP LIMITED","WALES"]
["CLOISTERS","PRIORY GROUP LIMITED","NHS BERKSHIRE WEST CCG"]
["COLLINGHAM person AND FAMILY CENTRE (CAMHS)","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH WEST LONDON CCG"]
["CORNERSTONE HOUSE","VISION MENTAL HEALTHCARE","NHS HERTS VALLEYS CCG"]
["CRAWLEY ROAD","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS WEST SUSSEX CCG"]
["CRYSTAL HOUSE","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH WEST LONDON CCG"]
["CYGNET ASPEN HOUSE","CYGNET HEALTH CARE LIMITED","NHS DONCASTER CCG"]
["CYGNET CEDARS","CYGNET HEALTH CARE LIMITED","NHS DEVON CCG"]
["CYGNET CHURCHILL","CYGNET HEALTH CARE LIMITED","NHS SOUTH EAST LONDON CCG"]
["CYGNET ELMS","CYGNET HEALTH CARE LIMITED","NHS BIRMINGHAM AND SOLIHULL CCG"]
["CYGNET HOSPITAL BECKTON","CYGNET HEALTH CARE LIMITED","NHS NORTH EAST LONDON CCG"]
["CYGNET HOSPITAL BIERLEY","CYGNET HEALTH CARE LIMITED","NHS BRADFORD DISTRICT AND CRAVEN CCG"]
["CYGNET HOSPITAL BURY","CYGNET HEALTH CARE LIMITED","NHS BURY CCG"]
["CYGNET HOSPITAL CLIFTON","CYGNET HEALTH CARE LIMITED","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["CYGNET HOSPITAL COLCHESTER","CYGNET HEALTH CARE LIMITED","NHS NORTH EAST ESSEX CCG"]
["CYGNET HOSPITAL COVENTRY","CYGNET HEALTH CARE LIMITED","NHS COVENTRY AND WARWICKSHIRE CCG"]
["CYGNET HOSPITAL DERBY","CYGNET HEALTH CARE LIMITED","NHS DERBY AND DERBYSHIRE CCG"]
["CYGNET HOSPITAL EALING","CYGNET HEALTH CARE LIMITED","NHS NORTH WEST LONDON CCG"]
["CYGNET HOSPITAL HARROW","CYGNET HEALTH CARE LIMITED","NHS NORTH WEST LONDON CCG"]
["CYGNET HOSPITAL HEXHAM","CYGNET HEALTH CARE LIMITED","NHS NORTHUMBERLAND CCG"]
["CYGNET HOSPITAL KEWSTOKE","CYGNET HEALTH CARE LIMITED","NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE CCG"]
["CYGNET HOSPITAL MAIDSTONE","CYGNET HEALTH CARE LIMITED","NHS KENT AND MEDWAY CCG"]
["CYGNET HOSPITAL SHEFFIELD","CYGNET HEALTH CARE LIMITED","NHS SHEFFIELD CCG"]
["CYGNET HOSPITAL STEVENAGE","CYGNET HEALTH CARE LIMITED","NHS EAST AND NORTH HERTFORDSHIRE CCG"]
["CYGNET HOSPITAL TAUNTON","CYGNET HEALTH CARE LIMITED","NHS SOMERSET CCG"]
["CYGNET HOSPITAL WOKING","CYGNET HEALTH CARE LIMITED","NHS SURREY HEARTLANDS CCG"]
["CYGNET HOSPITAL WYKE","CYGNET HEALTH CARE LIMITED","NHS BRADFORD DISTRICT AND CRAVEN CCG"]
["CYGNET LODGE BRIGHOUSE","CYGNET HEALTH CARE LIMITED","NHS CALDERDALE CCG"]
["CYGNET LODGE KENTON (WESTLANDS)","CYGNET HEALTH CARE LIMITED","NHS NORTH WEST LONDON CCG"]
["CYGNET LODGE LEWISHAM","CYGNET HEALTH CARE LIMITED","NHS SOUTH EAST LONDON CCG"]
["CYGNET MANOR","CYGNET HEALTH CARE LIMITED","NHS DERBY AND DERBYSHIRE CCG"]
["CYGNET OAKS","CYGNET HEALTH CARE LIMITED","NHS BARNSLEY CCG"]
["CYGNET RAGLAN HOUSE","CYGNET HEALTH CARE LIMITED","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["CYGNET SHERWOOD LODGE","CYGNET HEALTH CARE LIMITED","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["CYGNET ST AUGUSTINE'S","CYGNET HEALTH CARE LIMITED","NHS STOKE ON TRENT CCG"]
["CYGNET STORTHFIELD HOUSE","CYGNET HEALTH CARE LIMITED","NHS DERBY AND DERBYSHIRE CCG"]
["CYGNET VIEWS","CYGNET HEALTH CARE LIMITED","NHS DERBY AND DERBYSHIRE CCG"]
["CYGNET WAST HILLS","CYGNET HEALTH CARE LIMITED","NHS BIRMINGHAM AND SOLIHULL CCG"]
["DEACON UNIT","SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST","NHS SURREY HEARTLANDS CCG"]
["DEWI JONES UNIT","ALDER HEY personREN'S NHS FOUNDATION TRUST","NHS SOUTH SEFTON CCG"]
["DISCOVERY HOUSE - THE FENS, THE VALES & THE WOLDS","LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS LINCOLNSHIRE CCG"]
["EASTWAY ASSESSMENT & TREATMENT UNIT","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","NHS CHESHIRE CCG"]
["EBBW VALE HOSPITAL","REGIS HEALTHCARE","WALES"]
["EDENFIELD CENTRE  (formerly LOWRY UNIT / PRESTWICH HOSPITAL)","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS BURY CCG"]
["EDGWARE COMMUNITY HOSPITAL","BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS TRUST","NHS NORTH CENTRAL LONDON CCG"]
["EDGWARE COMMUNITY HOSPITAL - BEACON CENTRE ADOLESCENT UNIT","BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS TRUST","NHS NORTH CENTRAL LONDON CCG"]
["ELLERN MEDE BARNET","ELLERN MEDE CENTRE FOR EATING DISORDERS","NHS NORTH CENTRAL LONDON CCG"]
["ELLERN MEDE MOORGATE","ELLERN MEDE CENTRE FOR EATING DISORDERS","NHS ROTHERHAM CCG"]
["ELLERN MEDE RIDGEWAY","ELLERN MEDE CENTRE FOR EATING DISORDERS","NHS NORTH CENTRAL LONDON CCG"]
["ELMLEIGH","SOUTHERN HEALTH NHS FOUNDATION TRUST","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["FAIRFIELD HOSPITAL - HOPE AND HORIZON UNITS (CAMHS)","PENNINE CARE NHS FOUNDATION TRUST","NHS BURY CCG"]
["FAIRFIELD HOSPITAL - IRWELL UNIT","PENNINE CARE NHS FOUNDATION TRUST","NHS BURY CCG"]
["FARMFIELD","ELYSIUM HEALTHCARE","NHS SURREY HEARTLANDS CCG"]
["FARNHAM ROAD HOSPITAL (MENTAL HEALTH UNIT)","SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST","NHS SURREY HEARTLANDS CCG"]
["FERNDENE - CAMHS","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS NORTHUMBERLAND CCG"]
["FIELDHEAD HOSPITAL","SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS WAKEFIELD CCG"]
["FORSTON CLINIC","DORSET HEALTHCARE NHS FOUNDATION TRUST","NHS DORSET CCG"]
["FOSS PARK HOSPITAL","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS VALE OF YORK CCG"]
["FOUNTAIN WAY","AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST","NHS BATH AND NORTH EAST SOMERSET, SWINDON AND WILTSHIRE CCG"]
["FRANCIS WILLIS UNIT","LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS LINCOLNSHIRE CCG"]
["FURNESS GENERAL HOSPITAL","CUMBRIA PARTNERSHIP NHS FOUNDATION TRUST","NHS MORECAMBE BAY CCG"]
["GLENFIELD HOSPITAL - BRADGATE UNIT","LEICESTERSHIRE PARTNERSHIP NHS TRUST","NHS LEICESTER CITY CCG"]
["GLENFIELD HOSPITAL - HERSCHEL PRINS CENTRE","LEICESTERSHIRE PARTNERSHIP NHS TRUST","NHS LEICESTER CITY CCG"]
["GLENFIELD HOSPITAL - THE BENNION CENTRE","LEICESTERSHIRE PARTNERSHIP NHS TRUST","NHS LEICESTER CITY CCG"]
["GLENHURST LODGE","BRAMLEY HEALTH","NHS KENT AND MEDWAY CCG"]
["GOLDIE LEIGH HOSPITAL SITE - ATLAS HOUSE / SOMERSET VILLA","OXLEAS NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["GOODMAYES HOSPITAL","NORTH EAST LONDON NHS FOUNDATION TRUST","NHS NORTH EAST LONDON CCG"]
["GOODMAYES HOSPITAL - BROOKSIDE ADOLESCENT UNIT","NORTH EAST LONDON NHS FOUNDATION TRUST","NHS NORTH EAST LONDON CCG"]
["GORSE HILL HOSPITAL - AGNES UNIT","LEICESTERSHIRE PARTNERSHIP NHS TRUST","NHS LEICESTER CITY CCG"]
["GREAT ORMOND STREET HOSPITAL","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH CENTRAL LONDON CCG"]
["GREEN LANE HOSPITAL","AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST","NHS BATH AND NORTH EAST SOMERSET, SWINDON AND WILTSHIRE CCG"]
["GREEN PARKS HOUSE","OXLEAS NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["GUILD LODGE","LANCASHIRE CARE NHS FOUNDATION TRUST","NHS GREATER PRESTON CCG"]
["HALLAM STREET HOSPITAL","BLACK COUNTRY PARTNERSHIP NHS FOUNDATION TRUST","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["HAMMERSMITH & FULHAM MENTAL HEALTH UNIT","WEST LONDON MENTAL HEALTH NHS TRUST","NHS NORTH WEST LONDON CCG"]
["HARPLANDS HOSPITAL","NORTH STAFFORDSHIRE COMBINED HEALTHCARE NHS TRUST","NHS STOKE ON TRENT CCG"]
["HARRISON HOUSE","NAVIGO","NHS NORTH EAST LINCOLNSHIRE CCG"]
["HAYES GROVE","PRIORY GROUP LIMITED","NHS SOUTH EAST LONDON CCG"]
["HAZELWOOD HOUSE","PRIORY GROUP LIMITED","NHS DERBY AND DERBYSHIRE CCG"]
["HEALTHLINC HOUSE","ELYSIUM HEALTHCARE","NHS LINCOLNSHIRE CCG"]
["HEATH CLOSE","SOUTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS BASILDON AND BRENTWOOD CCG"]
["HEATH LANE HOSPITAL","BLACK COUNTRY PARTNERSHIP NHS FOUNDATION TRUST","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["HELLESDON HOSPITAL","NORFOLK AND SUFFOLK NHS FOUNDATION TRUST","NHS NORFOLK & WAVENEY CCG"]
["HELLINGLY CENTRE","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS EAST SUSSEX CCG"]
["HIGHBURY HOSPITAL","NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["HIGHFIELD ADOLESCENT UNIT","OXFORD HEALTH NHS FOUNDATION TRUST","NHS OXFORDSHIRE CCG"]
["HIGHGATE CENTRE FOR MENTAL HEALTH","CAMDEN AND ISLINGTON NHS FOUNDATION TRUST","NHS NORTH CENTRAL LONDON CCG"]
["HOLLINS PARK HOSPITAL (non-secure)","NORTH WEST BOROUGHS HEALTHCARE NHS FOUNDATION TRUST","NHS WARRINGTON CCG"]
["HOLLINS PARK HOSPITAL (secure)","NORTH WEST BOROUGHS HEALTHCARE NHS FOUNDATION TRUST","NHS WARRINGTON CCG"]
["HOLLYBANK","SOUTHERN HEALTH NHS FOUNDATION TRUST","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["HOPEWOOD CAMHS","NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["HOPEWOOD PARK","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS SUNDERLAND CCG"]
["HPFT NORTH ESSEX - LEXDEN HOSPITAL","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS NORTH EAST ESSEX CCG"]
["HUMBER CENTRE FOR FORENSIC PSYCHIATRY","HUMBER TEACHING NHS FOUNDATION TRUST","NHS EAST RIDING OF YORKSHIRE CCG"]
["HUNTERCOMBE CENTRE BIRMINGHAM","THE HUNTERCOMBE GROUP","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["HUNTERCOMBE HOSPITAL - COTSWOLD SPA","THE HUNTERCOMBE GROUP","NHS HEREFORDSHIRE AND WORCESTERSHIRE CCG"]
["HUNTERCOMBE HOSPITAL - MAIDENHEAD (CAMHS)","THE HUNTERCOMBE GROUP","NHS BUCKINGHAMSHIRE CCG"]
["HUNTERCOMBE HOSPITAL - STAFFORD (CAMHS)","THE HUNTERCOMBE GROUP","NHS STAFFORD AND SURROUNDS CCG"]
["IDA DARWIN HOSPITAL CAMHS","CAMBRIDGESHIRE AND PETERBOROUGH NHS FOUNDATION TRUST","NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG"]
["INTENSIVE SUPPORT SERVICE CENTRE","SHEFFIELD HEALTH & SOCIAL CARE NHS FOUNDATION TRUST","NHS SHEFFIELD CCG"]
["JIGSAW INDEPENDENT HOSPITAL","EQUILIBRIUM HEALTHCARE","NHS MANCHESTER CCG"]
["JOHN DENMARK UNIT MENTAL HEALTH & DEAFNESS INPATIENT SERVICES","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS BURY CCG"]
["JOHN HOWARD CENTRE - FORENSIC CENTRE FOR MH","EAST LONDON NHS FOUNDATION TRUST","NHS NORTH EAST LONDON CCG"]
["JUNCTION 17 CAMHS","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS BURY CCG"]
["KEMPLE VIEW","PRIORY GROUP LIMITED","NHS EAST LANCASHIRE CCG"]
["KENDRAY HOSPITAL","SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS BARNSLEY CCG"]
["KENT AND MEDWAY ADOLESCENT UNIT (WOODLAND HOUSE)","NORTH EAST LONDON NHS FOUNDATION TRUST","NHS KENT AND MEDWAY CCG"]
["KENT HOUSE HOSPITAL CAMHS","PRIORY GROUP LIMITED","NHS SOUTH EAST LONDON CCG"]
["KINGFISHER COURT","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS HERTS VALLEYS CCG"]
["KINGSLEY GREEN - BOWLERS GREEN (low secure)","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS HERTS VALLEYS CCG"]
["KINGSLEY GREEN - FOREST HOUSE ADOLESCENT UNIT","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS HERTS VALLEYS CCG"]
["KINGSLEY GREEN - SRS BUNGALOWS","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS HERTS VALLEYS CCG"]
["KINGSWOOD CENTRE","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH WEST LONDON CCG"]
["KNEESWORTH HOUSE HOSPITAL","PRIORY GROUP LIMITED","NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG"]
["LAKESIDE","ACCOMPLISH GROUP SUPPORT LTD","NHS BEDFORDSHIRE, LUTON AND MILTON KEYNES CCG"]
["LANCHESTER ROAD HOSPITAL","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS COUNTY DURHAM CCG"]
["LANGDON HOSPITAL","DEVON PARTNERSHIP NHS TRUST","NHS DEVON CCG"]
["LANGFORD CENTRE","BRAMLEY HEALTH","NHS EAST SUSSEX CCG"]
["LAUREATE HOUSE (WYTHENSHAWE)","MANCHESTER MENTAL HEALTH AND SOCIAL CARE TRUST","NHS MANCHESTER CCG"]
["LAVENDER WALK ADOLESCENT MH UNIT","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH WEST LONDON CCG"]
["LEE MILL UNIT","LIVEWELL SOUTHWEST","NHS DEVON CCG"]
["LEIGH HOUSE HOSPITAL","SOUTHERN HEALTH NHS FOUNDATION TRUST","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["LICHFIELD ROAD","PRIORY GROUP LIMITED","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["LIME WALK HOUSE","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","NHS CHESHIRE CCG"]
["LINCOLNSHIRE SECURE UNIT","LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS LINCOLNSHIRE CCG"]
["LITTLE PLUMSTEAD HOSPITAL - ASTLEY COURT","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS NORFOLK & WAVENEY CCG"]
["LITTLE PLUMSTEAD HOSPITAL - BROADLAND CLINIC","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS NORFOLK & WAVENEY CCG"]
["LITTLE WOODHOUSE HALL CAMHS","LEEDS AND YORK PARTNERSHIP NHS FOUNDATION TRUST","NHS LEEDS CCG"]
["LITTLEBROOK HOSPITAL ","KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST","NHS KENT AND MEDWAY CCG"]
["LITTLEMORE MENTAL HEALTH CENTRE","OXFORD HEALTH NHS FOUNDATION TRUST","NHS OXFORDSHIRE CCG"]
["LLANARTH COURT HOSPITAL","PRIORY GROUP LIMITED","WALES"]
["LOMBARD HOUSE","PRIORY GROUP LIMITED","NHS NORFOLK & WAVENEY CCG"]
["LONGREACH HOUSE","CORNWALL PARTNERSHIP NHS FOUNDATION TRUST","NHS KERNOW CCG"]
["LUSTRUM VALE / THE DALES","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS TEES VALLEY CCG"]
["LUTON & DUNSTABLE HOSPITAL","EAST LONDON NHS FOUNDATION TRUST","NHS BEDFORDSHIRE, LUTON AND MILTON KEYNES CCG"]
["LUTON AND CENTRAL BEDFORDSHIRE MENTAL HEALTH UNIT","EAST LONDON NHS FOUNDATION TRUST","NHS BEDFORDSHIRE, LUTON AND MILTON KEYNES CCG"]
["LYNFIELD MOUNT HOSPITAL","BRADFORD DISTRICT CARE NHS FOUNDATION TRUST","NHS BRADFORD DISTRICT AND CRAVEN CCG"]
["MAGNA HOUSE","ENBRIDGE HEALTHCARE LIMITED","NHS LINCOLNSHIRE CCG"]
["MALSIS HALL - SHELTON HOUSE","ECHO","NHS BRADFORD DISTRICT AND CRAVEN CCG"]
["MANSFIELD COMMUNITY HOSPITAL - ALEXANDER HOUSE","NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["MAPLE HOUSE (formerly ASH HOUSE)","KRINVEST GROUP","NHS WARRINGTON CCG"]
["MARKET WEIGHTON","PRIORY GROUP LIMITED","NHS EAST RIDING OF YORKSHIRE CCG"]
["MAUDSLEY HOSPITAL - SNOWSFIELDS ADOLESCENT UNIT","SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["MEADOWBROOK (MANCHESTER)","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS SALFORD CCG"]
["MIDDLETON ST GEORGE","PRIORY GROUP LIMITED","NHS TEES VALLEY CCG"]
["MILDMAY OAKS","PRIORY GROUP LIMITED","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["MILL GARTH HOSPITAL","PRIORY GROUP LIMITED","NHS LEEDS CCG"]
["MIRANDA HOUSE (PICU)","HUMBER TEACHING NHS FOUNDATION TRUST","NHS HULL CCG"]
["MOSSLEY HILL HOSPITAL","MERSEY CARE NHS TRUST","NHS LIVERPOOL CCG"]
["NELSON HOUSE","PRIORY GROUP LIMITED","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["NEW HALL INDEPENDENT HOSPITAL","MENTAL HEALTH CARE (UK) LTD","WALES"]
["NEWBRIDGE HOUSE CAMHS","NEWBRIDGE CARE SYSTEMS LTD","NHS BLACK COUNTRY AND WEST BIRMINGHAM CCG"]
["NEWHAM CENTRE FOR MENTAL HEALTH","EAST LONDON NHS FOUNDATION TRUST","NHS NORTH EAST LONDON CCG"]
["NEWMARKET HOUSE CLINIC","NEWMARKET HOUSE HEALTHCARE LTD","NHS NORFOLK & WAVENEY CCG"]
["NEWTON LODGE","SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUST","NHS WAKEFIELD CCG"]
["NORTHGATE HOSPITAL (Kenneth Day Unit - med secure)","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS NORTHUMBERLAND CCG"]
["NORTHGATE HOSPITAL (non-secure)","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS NORTHUMBERLAND CCG"]
["NORTHGATE HOSPITAL (Tweed Unit - low secure)","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS NORTHUMBERLAND CCG"]
["NORTHSIDE HOUSE was NORVIC","NORFOLK AND SUFFOLK NHS FOUNDATION TRUST","NHS NORFOLK & WAVENEY CCG"]
["CYGNET STORTHFIELD HOUSE","CYGNET HEALTH CARE LIMITED","NHS DERBY AND DERBYSHIRE CCG"]
["OAK RISE","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS VALE OF YORK CCG"]
["OAKWOOD","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS TEES VALLEY CCG"]
["OXLEAS HOUSE","OXLEAS NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["PARK HOUSE (NORTH MANCHESTER)","MANCHESTER MENTAL HEALTH AND SOCIAL CARE TRUST","NHS MANCHESTER CCG"]
["PARK VIEW CLINIC CAMHS","BIRMINGHAM personREN'S HOSPITAL NHS FOUNDATION TRUST","NHS BIRMINGHAM AND SOLIHULL CCG"]
["PINETREE COURT","LUDLOW STREET HEALTHCARE ","WALES"]
["PLYM BRIDGE HOUSE","LIVEWELL SOUTHWEST","NHS DEVON CCG"]
["POTTERS BAR","ELYSIUM HEALTHCARE","NHS HERTS VALLEYS CCG"]
["PRINCESS ROYAL HOSPITAL - CHALKHILL CAMHS","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS WEST SUSSEX CCG"]
["PRIORITY HOUSE","KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST","NHS KENT AND MEDWAY CCG"]
["PRIORY HOSPITAL EAST MIDLANDS","PRIORY GROUP LIMITED","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["PRIORY HOSPITAL LINCOLNSHIRE","PRIORY GROUP LIMITED","NHS LINCOLNSHIRE CCG"]
["PRIORY HOSPITAL NORTH LONDON - NHS SERVICES","PRIORY GROUP LIMITED","NHS NORTH CENTRAL LONDON CCG"]
["PROSPECT PARK HOSPITAL","BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS BERKSHIRE WEST CCG"]
["QUEEN MARY'S HOSPITAL ROEHAMPTON","ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST","NHS SOUTH WEST LONDON CCG"]
["RADBOURNE UNIT","DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST","NHS DERBY AND DERBYSHIRE CCG"]
["RAMPTON HOSPITAL (high secure)","NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS BASSETLAW CCG"]
["RATHBONE HOSPITAL","MERSEY CARE NHS TRUST","NHS LIVERPOOL CCG"]
["RAVENSWOOD HOUSE HOSPITAL","SOUTHERN HEALTH NHS FOUNDATION TRUST","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["REASIDE CLINIC","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST","NHS BIRMINGHAM AND SOLIHULL CCG"]
["RECOVERY FIRST","ELYSIUM HEALTHCARE","NHS HALTON CCG"]
["REDWOODS CENTRE","SOUTH STAFFORDSHIRE AND SHROPSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS SHROPSHIRE, TELFORD AND WREKIN CCG"]
["RICHMOND HOUSE","PRIORY GROUP LIMITED","NHS NORFOLK & WAVENEY CCG"]
["RIVERDALE GRANGE CLINIC","RIVERDALE GRANGE LIMITED","NHS SHEFFIELD CCG"]
["RIVERSIDE CENTRE","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH WEST LONDON CCG"]
["ROCHFORD COMMUNITY HOSPITAL","SOUTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS CASTLE POINT AND ROCHFORD CCG"]
["ROEHAMPTON","PRIORY GROUP LIMITED","NHS SOUTH WEST LONDON CCG"]
["ROSE LODGE","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS SOUTH TYNESIDE CCG"]
["ROSEBERRY PARK HOSPITAL (RIDGEWAY)","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS TEES VALLEY CCG"]
["ROSEMOUNT SITE - GREENWAYS","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","NHS CHESHIRE CCG"]
["ROWAN VIEW","MERSEY CARE NHS TRUST","NHS SOUTH SEFTON CCG"]
["ROYAL BLACKBURN HOSPITAL","LANCASHIRE CARE NHS FOUNDATION TRUST","NHS BLACKBURN WITH DARWEN CCG"]
["ROYAL BOLTON HOSPITAL","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS BOLTON CCG"]
["ROYAL MANCHESTER personREN'S HOSPITAL","CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST","NHS MANCHESTER CCG"]
["RUSHCLIFFE HOSPITAL","RUSHCLIFFE CARE GROUP","WALES"]
["SADDLEBRIDGE","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","NHS CHESHIRE CCG"]
["SELDEN CENTRE","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS WEST SUSSEX CCG"]
["SHEAR MEADOW","CYGNET HEALTH CARE LIMITED","NHS HERTS VALLEYS CCG"]
["SHEPHERD HOUSE","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS WEST SUSSEX CCG"]
["SHREWSBURY COURT","WHITEPOST HEALTHCARE GROUP","NHS SURREY HEARTLANDS CCG"]
["SOUTHAMPTON ADULT (MARCHWOOD)","PRIORY GROUP LIMITED","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["SPRING WOOD LODGE","ELYSIUM HEALTHCARE","NHS LEEDS CCG"]
["SPRINGFIELD UNIVERSITY HOSPITAL","SOUTH WEST LONDON AND ST GEORGE'S MENTAL HEALTH NHS TRUST","NHS SOUTH WEST LONDON CCG"]
["SPRINGVIEW HOSPITAL - PSYCHIATRIC SERVICES","CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST","NHS WIRRAL CCG"]
["ST ANDREW'S HEALTHCARE - BIRMINGHAM","ST ANDREW'S HEALTHCARE","NHS BIRMINGHAM AND SOLIHULL CCG"]
["ST ANDREW'S HEALTHCARE - ESSEX","ST ANDREW'S HEALTHCARE","NHS BASILDON AND BRENTWOOD CCG"]
["ST ANDREW'S HEALTHCARE - NORTHAMPTON","ST ANDREW'S HEALTHCARE","NHS NORTHAMPTONSHIRE CCG "]
["ST ANN'S HOSPITAL","BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS TRUST","NHS NORTH CENTRAL LONDON CCG"]
["ST ANN'S HOSPITAL DORSET","DORSET HEALTHCARE NHS FOUNDATION TRUST","NHS DORSET CCG"]
["ST AUBYN CENTRE CAMHS","NORTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS NORTH EAST ESSEX CCG"]
["ST BERNARDS AND EALING COMMUNITY SERVICES","WEST LONDON MENTAL HEALTH NHS TRUST","NHS NORTH WEST LONDON CCG"]
["ST CHARLES CENTRE FOR HEALTH AND WELLBEING","CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST","NHS NORTH WEST LONDON CCG"]
["ST DAVID'S INDEPENDENT HOSPITAL","MENTAL HEALTH CARE (UK) LTD","WALES"]
["ST GEORGE'S HOSPITAL","SOUTH STAFFORDSHIRE AND SHROPSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS STAFFORD AND SURROUNDS CCG"]
["ST GEORGE'S PARK","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS NORTHUMBERLAND CCG"]
["ST JAMES HOSPITAL","SOLENT NHS TRUST","NHS PORTSMOUTH CCG"]
["ST JOHN'S HOUSE","PRIORY GROUP LIMITED","NHS IPSWICH AND EAST SUFFOLK CCG"]
["ST LUKE'S HOSPITAL (SIMMONS HOUSE ADOLESCENT)","THE WHITTINGTON HOSPITAL NHS TRUST","NHS NORTH CENTRAL LONDON CCG"]
["ST MAGNUS HOSPITAL","ST MAGNUS HOSPITAL","NHS SURREY HEARTLANDS CCG"]
["ST MARTINS HOSPITAL","KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST","NHS KENT AND MEDWAY CCG"]
["ST MARYS HOSPITAL","ELYSIUM HEALTHCARE","NHS WARRINGTON CCG"]
["ST MARY'S HOSPITAL","NORTHAMPTONSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS NORTHAMPTONSHIRE CCG "]
["ST MICHAEL'S HOSPITAL","COVENTRY AND WARWICKSHIRE PARTNERSHIP NHS TRUST","NHS COVENTRY AND WARWICKSHIRE CCG"]
["ST NEOTS HOSPITAL","ELYSIUM HEALTHCARE","NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG"]
["ST NICHOLAS HOSPITAL","NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST","NHS NEWCASTLE GATESHEAD CCG"]
["ST PANCRAS HOSPITAL","CAMDEN AND ISLINGTON NHS FOUNDATION TRUST","NHS NORTH CENTRAL LONDON CCG"]
["ST PETER'S HOSPITAL","LUDLOW STREET HEALTHCARE","WALES"]
["STEPPING HILL HOSPITAL","PENNINE CARE NHS FOUNDATION TRUST","NHS STOCKPORT CCG"]
["STOCKTON HALL HOSPITAL","PRIORY GROUP LIMITED","NHS VALE OF YORK CCG"]
["STURT HOUSE","ELYSIUM HEALTHCARE","NHS SURREY HEARTLANDS CCG"]
["SUMMERLANDS HOSPITAL SITE - ROWAN WARD","SOMERSET PARTNERSHIP NHS FOUNDATION TRUST","NHS SOMERSET CCG"]
["SUTTONS MANOR","PRIORY GROUP LIMITED","NHS WEST ESSEX CCG"]
["TAMARIND CENTRE","BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST","NHS BIRMINGHAM AND SOLIHULL CCG"]
["TARENTFORT CENTRE","KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST","NHS KENT AND MEDWAY CCG"]
["THE BECKLIN CENTRE","LEEDS AND YORK PARTNERSHIP NHS FOUNDATION TRUST","NHS LEEDS CCG"]
["THE BECTON CENTRE CAMHS","SHEFFIELD personREN'S NHS FOUNDATION TRUST","NHS SHEFFIELD CCG"]
["THE CHIMNEYS CLINIC","ELYSIUM HEALTHCARE","NHS WEST SUFFOLK CCG"]
["THE DALLINGTONS","ST MATTHEW'S HEALTHCARE","NHS NORTHAMPTONSHIRE CCG "]
["THE DARWIN CENTRE","NORTH STAFFORDSHIRE COMBINED HEALTHCARE NHS TRUST","NHS STOKE ON TRENT CCG"]
["THE DENE","PRIORY GROUP LIMITED","NHS WEST SUSSEX CCG"]
["THE FARNDON UNIT","ELYSIUM HEALTHCARE","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["THE HARBOUR","LANCASHIRE CARE NHS FOUNDATION TRUST","NHS FYLDE & WYRE CCG"]
["THE LADYWELL UNIT LEWISHAM HOSPITAL","SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["THE LAMBETH HOSPITAL","SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST","NHS SOUTH EAST LONDON CCG"]
["THE LIMES HOSPITAL","ELYSIUM HEALTHCARE","NHS DERBY AND DERBYSHIRE CCG"]
["THE ORCHARD","LANCASHIRE CARE NHS FOUNDATION TRUST","NHS MORECAMBE BAY CCG"]
["THE SPINNEY","ELYSIUM HEALTHCARE","NHS WIGAN BOROUGH CCG"]
["THE WOODHOUSE","ELYSIUM HEALTHCARE","NHS NORTH STAFFORDSHIRE CCG"]
["THORNFORD PARK","ELYSIUM HEALTHCARE","NHS BERKSHIRE WEST CCG"]
["TICEHURST HOUSE CAMHS","PRIORY GROUP LIMITED","NHS EAST SUSSEX CCG"]
["TORBAY HOSPITAL","DEVON PARTNERSHIP NHS TRUST","NHS DEVON CCG"]
["TOWER HAMLETS CENTRE FOR MENTAL HEALTH","EAST LONDON NHS FOUNDATION TRUST","NHS NORTH EAST LONDON CCG"]
["TOWNEND COURT","HUMBER TEACHING NHS FOUNDATION TRUST","NHS HULL CCG"]
["TOWNSEND COURT","EAST LONDON NHS FOUNDATION TRUST","NHS BEDFORDSHIRE, LUTON AND MILTON KEYNES CCG"]
["TRAFFORD GENERAL HOSPITAL - MOORSIDE UNIT","GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST","NHS TRAFFORD CCG"]
["TY CATRIN","PRIORY GROUP LIMITED","WALES"]
["TY GWYN HALL","ELYSIUM HEALTHCARE","WALES"]
["UPLANDS INDEPENDENT HOSPITAL","CARETECH UK","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["WALKER CLOSE","NORFOLK AND SUFFOLK NHS FOUNDATION TRUST","NHS IPSWICH AND EAST SUFFOLK CCG"]
["WARNEFORD HOSPITAL","OXFORD HEALTH NHS FOUNDATION TRUST","NHS OXFORDSHIRE CCG"]
["WARREN COURT (Eric Shepherd Unit)","HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS HERTS VALLEYS CCG"]
["WATERLOO MANOR HOSPITAL","INMIND HEALTHCARE - HEAD OFFICE","NHS LEEDS CCG"]
["WEAVER LODGE INDEPENDENT HOSPITAL","WEAVER LODGE INDEPENDENT HOSPITAL","NHS CHESHIRE CCG"]
["WELLESLEY","ELYSIUM HEALTHCARE","NHS SOMERSET CCG"]
["WELLS ROAD CENTRE","NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST","NHS NOTTINGHAM AND NOTTINGHAMSHIRE CCG"]
["WELLSPRINGS HOSPITAL SITE - HOLFORD WARD","SOMERSET PARTNERSHIP NHS FOUNDATION TRUST","NHS SOMERSET CCG"]
["WEST PARK HOSPITAL","TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST","NHS TEES VALLEY CCG"]
["WESTLANDS","HUMBER TEACHING NHS FOUNDATION TRUST","NHS HULL CCG"]
["WHALLEY SITE (CALDERSTONES)","MERSEY CARE NHS TRUST","NHS EAST LANCASHIRE CCG"]
["WHIPTON HOSPITAL","DEVON PARTNERSHIP NHS TRUST","NHS DEVON CCG"]
["WHITELEAF CENTRE","OXFORD HEALTH NHS FOUNDATION TRUST","NHS BUCKINGHAMSHIRE CCG"]
["WONFORD HOUSE HOSPITAL","DEVON PARTNERSHIP NHS TRUST","NHS DEVON CCG"]
["WOODBOURNE (BIRMINGHAM)","PRIORY GROUP LIMITED","NHS BIRMINGHAM AND SOLIHULL CCG"]
["WOODHAVEN / TATCHBURY MOUNT","SOUTHERN HEALTH NHS FOUNDATION TRUST","NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"]
["WOODLANDS","SUSSEX PARTNERSHIP NHS FOUNDATION TRUST","NHS EAST SUSSEX CCG"]
["WOODLEA CLINIC (LEARNING DISABILITY SERVICE) - low secure","SOUTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST","NHS BEDFORDSHIRE, LUTON AND MILTON KEYNES CCG"]
["WOODLEIGH COMMUNITY","INMIND HEALTHCARE - HEAD OFFICE","NHS SOUTH WEST LONDON CCG"]
["OTHER","OTHER","`"]
[]
["Basis of Consent"]
["Please select from list"]
["Person has capacity and has consented to CTR"]
["Person does not have capacity but there is evidence of a best interests decision"]
[]
["12 point scale"]
["Please select from list"]
["Point 1 - Person in active treatment - start discharge planning"]
["Point 2 - Person identified as ready for discharge - specification outline required"]
["Point 3 - Capacity assessment required (community accommodation & support)"]
["Point 4 - Community based risk asssessment"]
["Point 5 - Service specification complete - ready to be advertised / tendering "]
["Point 6 - Procurement process to be undertaken (where required)"]
["Point 7 - Accommodation search to be identified and secured and adaptions completed"]
["Point 8.1 - Funding (for discharge support) to be agreed and in place"]
["Point 8.2 - Additional funding agreed and in place (where required)"]
["Point 9.1 - Workforce / provision - ensure provider staff are recruited"]
["Point 9.2 - Workforce / provision: Community Multidisciplinary Team personnel identified"]
["Point 10.1 - Legal framework - Mental Health Tribunal (if appropriate)"]
["Point 10.2 - Legal framework - Court of Protection (if required)"]
["Point 10.3 - Legal framework - Parole Board (if required)"]
["Point 10.4 - Legal framework - Ministry of Justice Application (if required)"]
["Point 11.1 - Community move / discharge - communicate and commence transition plan"]
["Point 11.2 - Community move / discharge - s17 leave underway as part of transition to community placement"]
["Point 12 - Discharge"]
[]
["Mental Health Act Legal Status"]
["Please select from list"]
["Informal"]
["Detained under DoLS"]
["Detained under Mental Health Act Section 2"]
["Detained under Mental Health Act Section 3"]
["Detained under Mental Health Act Section 37"]
["Detained under Mental Health Act Section 37 with section 41 restrictions"]
["Detained under Mental Health Act Section 47 "]
["Detained under Mental Health Act Section 47 with section 49 restrictions"]
[]
["Mental Capacity Act Legal Status"]
["Please select from list"]
["Yes"]
["No"]
["N/A"]
[]
["Level of Security"]
["Please select from list"]
["Adult Acute"]
["High Security"]
["Locked Rehab"]
["Low Security"]
["Medium Security"]
["PICU"]
[]
["Advocates"]
["Please select from list"]
["Family, Friend or Carer Advocate"]
["Independent Mental Capacity Advocate (IMCA)"]
["Independent Mental Health Advocate (IMHA)"]
["Hospital appointed Advocated"]
["LAC Advocate"]
[]
["Learning Disability Type"]
["Please select from list"]
["No"]
["Yes - Mild"]
["Yes - Moderate"]
["Yes - Severe "]
["Yes - Profound"]
[]
["Autism Diagnosis"]
["Please select from list - ANNE TO PROVIDE LIST FOR DROP-DOWN"]
["No"]
["option 1"]
["option 2"]
["option 3"]
["option 4 etc."]
[]
["Levels of Confidence"]
["Please select from list"]
["The panel has no concerns in this area about the person's experience of care, safety, or evidence of clear plans with good outcomes"]
["The panel has some concern in this area about the person’s experience of care, safety, or whether there are good plans with clear outcomes "]
["The panel has great concern in this area about the person’s experience of care, safety, or whether there are good plans with clear outcomes"]
[]
["Mental Health Act Legal Status","Column1","Column2","Column3","Column4","Column5","Column6","Column7","Column8"]
["Please select from list"]
["1 - Informal"]
["2 - Detained under DoLS"]
["3 - Detained under Mental Health Act Section 2"]
["4 - Detained under Mental Health Act Section 3"]
["5 - Subject to guardianship under Mental Health Act Section 37"]
["6 - Subject to guardianship under Mental Health Act Section 37 with section 41 restrictions","Is there a link between offending behaviour and diagnosis? ","If yes, is there a treatment plan with outcomes for the cause of the offending behaviour? ","Is there a clear and detailed risk assessment in place using validated assessment tools? What tool(s) have been used? ","Are offence related care and treatment plans clear and comprehensive in the following areas: \n - Assessment and motivational work \n - Offence related treatments Assessment and motivational work\n - Psychological therapies \n - Consolidation and relapse prevention work \n - Discharge planning ","How are offence related treatments being offered? (group/ individual) \n - Is the MoJ role clearly shown in care and treatment plans?  \n - Are requests to MoJ quickly addressed? ","Do risk assessments explain the involvement of the MoJ or probation services? ","Are any risks to victims considered/ Is there a VLO? ","If transferred from youth offending institute/prison, is it clear why they continue to remain in hospital? "]
["7 - Detained under Mental Health Act Section 47"]
["8 - Detained under Mental Health Act Section 47 with section 49 restrictions","Is there a link between offending behaviour and diagnosis? ","If yes, is there a treatment plan with outcomes for the cause of the offending behaviour? ","Is there a clear and detailed risk assessment in place using validated assessment tools? What tool(s) have been used? ","Are offence related care and treatment plans clear and comprehensive in the following areas: \n - Assessment and motivational work \n - Offence related treatments Assessment and motivational work\n - Psychological therapies \n - Consolidation and relapse prevention work \n - Discharge planning ","How are offence related treatments being offered? (group/ individual) \n - Is the MoJ role clearly shown in care and treatment plans?  \n - Are requests to MoJ quickly addressed? ","Do risk assessments explain the involvement of the MoJ or probation services? ","Are any risks to victims considered/ Is there a VLO? ","If transferred from youth offending institute/prison, is it clear why they continue to remain in hospital? "]
["x - Detained under Mental Health Act Section 48 with section 49 restrictions","Is there a link between offending behaviour and diagnosis? ","If yes, is there a treatment plan with outcomes for the cause of the offending behaviour? ","Is there a clear and detailed risk assessment in place using validated assessment tools? What tool(s) have been used? ","Are offence related care and treatment plans clear and comprehensive in the following areas: \n - Assessment and motivational work \n - Offence related treatments Assessment and motivational work\n - Psychological therapies \n - Consolidation and relapse prevention work \n - Discharge planning ","How are offence related treatments being offered? (group/ individual) \n - Is the MoJ role clearly shown in care and treatment plans?  \n - Are requests to MoJ quickly addressed? ","Do risk assessments explain the involvement of the MoJ or probation services? ","Are any risks to victims considered/ Is there a VLO? ","If transferred from youth offending institute/prison, is it clear why they continue to remain in hospital? "]
["xx - Detained under Criminal Procedure (Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Plead) Act 1991","Is there a link between offending behaviour and diagnosis? ","If yes, is there a treatment plan with outcomes for the cause of the offending behaviour? ","Is there a clear and detailed risk assessment in place using validated assessment tools? What tool(s) have been used? ","Are offence related care and treatment plans clear and comprehensive in the following areas: \n - Assessment and motivational work \n - Offence related treatments Assessment and motivational work\n - Psychological therapies \n - Consolidation and relapse prevention work \n - Discharge planning ","How are offence related treatments being offered? (group/ individual) \n - Is the MoJ role clearly shown in care and treatment plans?  \n - Are requests to MoJ quickly addressed? ","Do risk assessments explain the involvement of the MoJ or probation services? ","Are any risks to victims considered/ Is there a VLO? ","If transferred from youth offending institute/prison, is it clear why they continue to remain in hospital? "]
[]
[]
["Yes/No only"]
["Please select from list"]
["Yes"]
["No"]
[]
[]
["Yes/No/ Not Applicable"]
["Please select from list"]
["Yes"]
["No"]
["N/A"]
[]
["DSR Rag Rating"]
["Please select from list"]
["Immediate risk that the person will be admitted to a mental health hospital"]
["Immediate risk that the person will be admitted to a mental health hospital without urgent intervention"]
["Some risks that could lead to the person being admitted or re-admitted to a mental health hospital, but currently these risks are being effectively managed"]
["Person is currently in inpatient services"]
[]
["Outcome"]
["Please select from list"]
["Ready for discharge, discharge plan in place & discharge date in next 3 months"]
["Ready for discharge, discharge plan in place & discharge date in next 6 months"]
["Ready for discharge - no discharge plan"]
["Not ready for discharge - needs to be in a hospital bed for care & treatment"]
["SECURE ONLY: Not ready for discharge - ready for transfer to setting of lower security"]
[]
["Barriers to discharge"]
["Please select from list"]
["No Person Centred Plan on which to base individual service specification"]
["Lack of agreement on future plan"]
["No identified care coordinator in community"]
["Lack of suitable housing"]
["No suitable care provider"]
["Lack of agreement on funding"]
["Appropriate Clinical skills not available in community to support package"]
["Responsible commissioner issues"]
["Treatment formulation unclear & absence of outcomes"]
["Person subject to MoJ, discharge could be facilitated but need endorsement from MoJ: MoJ not yet contacted"]
["Person subject to MoJ, discharge could be facilitated but need endorsement from MoJ: MoJ contacted by delays / no response"]
["Person subject to MoJ, discharge could be facilitated but need endorsement from MoJ: MoJ disagree with request from leave / transfer / discharge"]
["Person subject to MoJ, discharge could be facilitated but need endorsement from MoJ: MoJ have requested more information"]
["Person subject to MoJ, discharge could be facilitated but need endorsement from MoJ: other"]
["Legal barrier (e.g. Court of Protection)"]
["Family or carers not in agreement with discharge plan (family support issues)"]
["Other"]
[]
["Pre CTR DSR Rating"]
["Please select from list"]
["Not previously on the DSR"]
["Immediate risk that the person will be admitted to a mental health hospital"]
["Immediate risk that the person will be admitted to a mental health hospital without urgent intervention"]
["Some risks that could lead to the person being admitted or re-admitted to a mental health hospital, but currently these risks are being effectively managed"]
["Person is currently in inpatient services"]
[]
["Participation"]
["Please select from list"]
["Yes"]
["Yes - with help"]
["No"]
[]
["Discharge"]
["Please select from list"]
["Residential Care"]
["Community"]
["Home"]
["Prison"]